The school nurse is conducting pediculosis capitis checks. A child with a positive head check would have which finding?

Lesions in the scalp that extend to the hairline or neck.

Circular lesion with raised edges and central clearing and itching

White sacs attached to the hair shafts in the occipital area

Maculopapular lesions behind the ears.

Answer and Explanation

The Correct Answer is C

A.   While scratching due to lice can lead to irritation and lesions, this finding is not specific to pediculosis capitis. Lesions extending to the hairline or neck could be caused by various conditions, such as eczema or dermatitis, rather than lice infestation.
B.   This description is more characteristic of tinea capitis (scalp ringworm) rather than pediculosis capitis. Tinea capitis presents as circular patches with raised edges and may cause itching, but it is not caused by lice.
C.   In cases of pediculosis capitis, the white sacs refer to nits (lice eggs), which are commonly found attached to hair shafts, especially around the occipital area (back of the head). Nits are oval and may be mistaken for dandruff but are firmly attached to the hair.
D.   While maculopapular lesions can be a result of scratching, they are not a typical finding in pediculosis capitis. Such lesions might indicate another skin condition or an allergic reaction rather than an infestation of lice.

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Correct Answer is D

Explanation

A. While changes in breathing patterns can indicate airway obstruction, snoring alone is not the most specific indicator of a complication after tonsillectomy. It could indicate swelling or an obstructed airway but does not specifically indicate bleeding.

B. Checking the mucous membranes for moisture is important in general nursing care to assess hydration status. However, it is not the most immediate priority in the post-tonsillectomy setting, where the primary concern is to monitor for bleeding.
C. Assessing pain is important for overall patient comfort and to evaluate the effectiveness of pain management strategies. However, pain alone does not directly indicate a complication like bleeding, which is a critical concern in this scenario.
D. Continuous swallowing can be an early sign of bleeding after tonsillectomy, as patients may swallow frequently to clear blood from the throat. If a patient is swallowing more often than normal, it could indicate that they are swallowing blood, which would require immediate intervention.

A. "Begin to taper the antibiotics after 3 days of administration" B. "Administer the antibiotics if the child has a fever" C. "Administer the antibiotics until they are gone." D. "Administer the antibiotics until the child feels better"

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.

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The school nurse is conducting pediculosis capitis checks. A child with a positive head check would have which finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When caring for a patient that has undergone a tonsillectomy, the nurse's priority assessment in identifying a potential complication would include?

Correct Answer is D

Explanation

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

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