The nurse is providing education on tick removal. Which action would be incorrect?
Cleanse the wound with soap and water.
Grasp the tick by the body to remove.
Leave the tick in place and seek emergency medical treatment.
Avoid touching the tick with bare hands.
The Correct Answer is B
The correct answer is choice b. Grasp the tick by the body to remove.
Choice A rationale:
Cleansing the wound with soap and water is a correct action. It helps to prevent infection after the tick has been removed.
Choice B rationale:
Grasping the tick by the body is incorrect. The proper method is to use fine-tipped tweezers to grasp the tick as close to the skin’s surface as possible and pull upward with steady, even pressure. Grasping the tick by the body can cause the mouth-parts to break off and remain in the skin, increasing the risk of infection.
Choice C rationale:
Leaving the tick in place and seeking emergency medical treatment is not recommended. The tick should be removed as soon as possible to reduce the risk of disease transmission.
Choice D rationale:
Avoiding touching the tick with bare hands is correct. Using gloves or tissue to handle the tick helps prevent the transmission of pathogens.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
The correct answers are choices A, B, and D.
Choice A rationale:
Decreased urinary output can be a sign of heart failure, especially in infants. In heart failure, the heart's ability to pump effectively can lead to decreased blood flow to the kidneys, resulting in decreased urine production.
Choice B rationale:
Sweating (inappropriate) is a symptom of heart failure in infants. Infants with heart failure might sweat excessively, especially while feeding or crying, due to the effort required by the heart to pump blood effectively.
Choice C rationale:
Warm flushed extremities are not typically associated with heart failure in infants. In heart failure, extremities might actually become cool and pale due to poor circulation.
Choice D rationale:
Anorexia, or a lack of appetite, is a common sign in infants with heart failure. The increased effort required for feeding due to compromised cardiac function can lead to poor feeding and decreased appetite.
Choice E rationale:
Weight loss can occur in infants with heart failure due to inadequate caloric intake, difficulty with feeding, and increased metabolic demands associated with heart failure. However, it's not as specific a sign as decreased urinary output, sweating, and anorexia.
Correct Answer is A
Explanation
The correct answer is choice A: "Urethral opening along ventral surface of penis."
Choice A rationale:
The statement "Urethral opening along ventral surface of penis" is correct. Hypospadias is a congenital condition where the opening of the urethra is located on the underside of the penis rather than at the tip. This anomaly requires surgical correction.
Choice B rationale:
The statement "Urethral opening along dorsal surface of penis" is incorrect. This statement describes an anatomically incorrect condition. The opening of the urethra is not supposed to be along the dorsal surface of the penis.
Choice C rationale:
The statement "Absence of a urethral opening" is incorrect. This statement describes a more severe condition called "urethral agenesis" where the urethral opening is completely absent. Hypospadias is different and involves a misplaced urethral opening.
Choice D rationale:
The statement "Penis shorter than usual for age" is not related to hypospadias. Hypospadias primarily involves the location of the urethral opening and is unrelated to the length of the penis.
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