The nurse provides a parent with instructions on how to perform the scotch tape test to collect a specimen for ova and parasites in the perineal region of a child suspected of having pinworms. Which action by the parent indicates the test was done at the correct time?
The parent collects the specimen when the child reports itching.
The parent collects the specimen in the evening before the child goes to bed.
The parent collects the specimen after the child has had a bowel movement.
The parent collects the specimen in the morning when the child awakens.
The Correct Answer is D
Choice A rationale:
The statement "The parent collects the specimen when the child reports itching”. is incorrect. The scotch tape test for pinworms involves placing clear tape on the perianal area in the morning to collect eggs that may have been laid during the night, not based on itching.
Choice B rationale:
The statement "The parent collects the specimen in the evening before the child goes to bed”. is incorrect. The test is most effective in the morning when the child wakes up, as this is when pinworms are most active and lay their eggs.
Choice C rationale:
The statement "The parent collects the specimen after the child has had a bowel movement”. is incorrect. The test doesn't involve collecting a specimen after a bowel movement but rather in the morning using transparent tape to catch pinworm eggs.
Choice D rationale:
The statement "The parent collects the specimen in the morning when the child awakens”. is correct. This is the correct time for the scotch tape test, as it maximizes the chance of detecting pinworm eggs laid during the night.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Preventing contractures of the hips and knees is not directly related to the care of a pediatric patient with congestive heart failure (CHF). CHF primarily involves impaired cardiac function and fluid retention, not joint contractures.
Choice B rationale:
Minimizing cardiac output would be counterproductive in the care of a patient with CHF. The goal is to optimize cardiac output to meet the body's demands while managing the symptoms of CHF.
Choice C rationale:
Minimizing energy expenditure is a major goal in the care of a pediatric patient with CHF. CHF places an extra workload on the heart, and conserving energy helps prevent additional strain on the heart, allowing it to function more efficiently.
Choice D rationale:
Preventing vomiting is not a specific goal related to the care of a pediatric patient with CHF. Vomiting might be a symptom of CHF, but the primary focus is on managing cardiac function and fluid balance.
Correct Answer is A
Explanation
Have a child life specialist explain the procedure using a doll.
Choice A rationale:
Having a child life specialist explain the procedure using a doll is the best approach for preparing a 4-year-old for a bone marrow aspiration. This method utilizes play therapy to help the child understand the procedure in a developmentally appropriate and non-threatening way.
Choice B rationale:
Giving the client color handouts might not effectively engage a 4-year-old's attention and understanding. Young children often benefit more from interactive and visual methods like using a doll.
Choice C rationale:
Telling the client that other children have had the procedure might not alleviate the child's anxiety or fear. Concrete explanations and visual aids are more effective in reducing anxiety and helping the child cope.
Choice D rationale:
Allowing the patient to watch a video of the procedure on another child could potentially increase anxiety and fear. Children might not fully comprehend the video and could misinterpret it, leading to more distress. Interactive methods are more effective.
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