A school-age child is diagnosed with impetigo. During discharge teaching, which statement made by the caregiver should indicate to the nurse that additional education is needed?

Release fluid from the lesions.

Wash hands frequently.

Monitor for itching and scratching.

Treatment will include antibiotics.

Answer and Explanation

The Correct Answer is A

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Correct Answer is D

Explanation

A. Observe the child for blank, sunken eyes.Blank, sunken eyes are not associated with strabismus. These could be signs of other conditions, such as dehydration or severe malnutrition, but they are not relevant for assessing strabismus.

B. Inspect the child for the setting-sun sign.The setting-sun sign is more commonly associated with increased intracranial pressure in infants and is not a relevant observation for detecting strabismus in a 5-year-old child.

C. Have the child identify colored patterns on polychromatic cards.Identifying colored patterns on polychromatic cards is a test for color vision, not for strabismus. Strabismus involves misalignment of the eyes rather than a problem with color perception.

D. Direct the child through the six cardinal positions of gaze.The six cardinal positions of gaze test the alignment and movement of the eyes. The nurse asks the child to follow an object with their eyes as it is moved through these six positions. Any inability of the eyes to maintain proper alignment or any deviation from the expected movement can indicate strabismus. This is an effective and commonly used method to screen for strabismus in children.

A. Avoid scrubbing the scalp until the scales disappear. B. Use soap and water and avoid shampoos. C. Use a soft brush and gently scrub the area. D. Avoid washing the child's hair more than once a week.

Correct Answer is C

No explanation

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A school-age child is diagnosed with impetigo. During discharge teaching, which statement made by the caregiver should indicate to the nurse that additional education is needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When screening a 5-year-old for strabismus, which action should the nurse take?

Correct Answer is D

Explanation

How should the nurse instruct the parents of a 4-month-old with seborrheic dermatitis (cradle cap) to shampoo the child's hair?

Correct Answer is C

When administering indomethacin to a premature infant who has patent ductus arteriosus, the nurse should anticipate which outcome?

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A 4-year-old girl returns to the pediatrician's office for a postoperative visit following hospitalization for minor surgery. When observing the child in the waiting area, which behavior should the nurse consider normal for this age child?

A school-age child is diagnosed with impetigo. During discharge teaching, which statement made by the caregiver should indicate to the nurse that additional education is needed?

A 4-month-old girl is brought to the clinic by her mother because she has had a cold for 2 to 3 days and woke up this morning with a barking cough and difficulty breathing. Which additional assessment finding should alert the nurse that the child is in acute respiratory distress?