An eighth-grade student appears in the school office with a skin manifestation that itches. He states that it began on the way to school after he took a shortcut through a field. The nurse performs a skin assessment and finds areas of erythema with streaks and patches on both legs. She determines that he is exhibiting signs of contact dermatitis. What is the first action that the nurse should take?

Alert the child's parents.

Apply cool, wet compresses.

Contact medical help by notifying the child's health care provider

Wash the area thoroughly with soap and water.

Answer and Explanation

The Correct Answer is D

A.   While it may be important to inform the parents later, this is not the immediate priority. The first step should be to assess and manage the current situation before involving the parents.
B.   This is a reasonable action to help soothe the itching and irritation caused by contact dermatitis. However, before applying compresses, it’s crucial to ensure that the area is clean and that there is no potential for worsening the condition.
C.   This may be necessary if the reaction is severe or worsening, but in this case, the student is exhibiting signs consistent with contact dermatitis, which can often be managed effectively at school without immediate medical intervention.
D.   Washing the affected area with soap and water helps remove any potential irritants or allergens that may be causing the dermatitis. This action can help prevent the condition from worsening and relieve some of the symptoms.

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Correct Answer is C

Explanation

A. Antibiotics should not be tapered unless specifically directed by a healthcare provider. It is essential to complete the full course of antibiotics as prescribed, even if the child begins to feel better, to ensure the infection is fully treated.
B. Antibiotics should be administered as prescribed regardless of whether the child has a fever. Fever can be a sign of infection, but it is not the sole criterion for administering antibiotics.
C. Parents should complete the entire course of antibiotics as prescribed, even if the child appears to be improving. This helps to prevent the development of antibiotic-resistant bacteria and ensures that the infection is fully treated.
D. While it is common for parents to want to stop medications when their child feels better, it is crucial to complete the full course of antibiotics. Stopping early can lead to a recurrence of the infection and contribute to antibiotic resistance.

A. Cool extremity B. Absence of pedal pulses C. Misalignment D. Hypotension

Correct Answer is C

Explanation

A. This finding can occur with circulatory issues but is not a classic symptom of a hip fracture itself. A cool extremity may indicate vascular compromise, which is less common immediately after a hip fracture and more concerning for a potential complication, such as compartment syndrome.
B. Similar to cool extremities, absent pedal pulses suggest a significant vascular problem and are not typical for a straightforward hip fracture. While this can indicate serious complications, it is not a common presentation immediately following a hip fracture.
C. Misalignment or deformity of the leg is a classic symptom of a fractured hip. The affected leg may appear shorter and externally rotated. This misalignment is often one of the first observable signs that healthcare providers look for during the assessment.
D. Hypotension can occur due to various reasons, including pain, dehydration, or blood loss, but it is not a direct symptom of a fractured hip. While it could be present in some cases, it is not the most characteristic finding associated with hip fractures.

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Naxlex Comprehensive Predictor Exams

A child with otitis media had a myringotomy with insertion of tubes. The nurse provides discharge instructions to the parents regarding the administration of antibiotics. Which statement indicates understanding of the instructions?

Correct Answer is C

Explanation

The elderly client is admitted to the emergency room after a fall with a suspected fracted hip. Which symptom is the client most likely to exhibit?

Correct Answer is C

Explanation

Which test results require the most immediate action by the nurse?

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