A nurse is reinforcing teaching with the guardian of an infant who has seborrheic dermatitis of the scalp. Which of the following instructions should the nurse include?

"When patches are present, it indicates that your infant has a systemic infection."

"you can use petroleum to help soften and remove patches from your infant's scalp."

"You should avoid washing your infant's hair while patches are present on the scalp."

When patches are present, you should keep your infant away from others."

Answer and Explanation

The Correct Answer is B

A. "When patches are present, it indicates that your infant has a systemic infection." Seborrheic dermatitis is a benign, non-infectious condition and does not indicate systemic infection.
B. "You can use petrolatum to help soften and remove patches from your infant's scalp. Petrolatum can help soften and loosen scales in seborrheic dermatitis, making them easier to remove gently. This can help manage the condition effectively.
C. "You should avoid washing your infant's hair while patches are present on the scalp." Gentle washing with a mild shampoo can help manage seborrheic dermatitis. Avoiding washing altogether is not necessary unless advised by a healthcare provider.
D. "When patches are present, you should keep your infant away from others." Seborrheic dermatitis is not contagious, so there is no need to keep the infant away from others.

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Correct Answer is B

Explanation

A. Rigid abdomen: A rigid abdomen is not typically associated with Hirschsprung disease unless there is severe obstruction and distension.
B. Ribbonlike, foul-smelling stools: Hirschsprung disease causes obstruction of the colon, leading to constipation and ribbonlike, foul-smelling stools proximal to the affected segment.
C. Projectile vomiting: Projectile vomiting is not typically associated with Hirschsprung disease but may occur in other conditions causing bowel obstruction.
D. Chronic hunger: Chronic hunger is not a typical finding in Hirschsprung disease and is more indicative of metabolic or endocrine disorders.

A. "Give your infant an oral rehydration solution." B. "You might want to try switching to a different formula." C. "Bring your infant into the clinic today to be seen." D. "Burp your child more frequently during feedings."

Correct Answer is C

Explanation

A. "Give your infant an oral rehydration solution." While rehydration is important, projectile vomiting could indicate a more serious underlying issue that needs medical evaluation.
B. "You might want to try switching to a different formula." Formula intolerance is less likely to cause projectile vomiting. A change in formula should not be suggested without ruling out more serious conditions first.
C. "Bring your infant into the clinic today to be seen." Projectile vomiting in an infant, especially when followed by hunger, can indicate pyloric stenosis, a condition that requires prompt medical evaluation. The infant should be seen by a healthcare provider to determine the cause and initiate appropriate treatment.
D. "Burp your child more frequently during feedings." Burping can help with regular gas and minor feeding issues, but it is unlikely to resolve projectile vomiting.

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A nurse is reinforcing teaching with the guardian of an infant who has seborrheic dermatitis of the scalp. Which of the following instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has Hirschsprung disease. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse working at a clinic speaks on the telephone with a parent of a 2-month-old infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following responses by the nurse is appropriate?

Correct Answer is C

Explanation

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