The school nurse is performing pediculosis capitis (head lice) assessments. Which assessment finding indicates that a child has a "positive" head check for lice?

Maculopapular lesions behind the ears

White sacs attached to the hair shafts in the occipital area.

White flaky particles throughout the entire scalp region

Lesions in the scalp that extend to the hairline or neck

Answer and Explanation

The Correct Answer is B

A. Maculopapular lesions behind the ears: Maculopapular lesions are not characteristic of head lice infestation.
B. White sacs attached to the hair shafts in the occipital area: White sacs (nits) attached to hair shafts are characteristic of head lice infestation.
C. White flaky particles throughout the entire scalp region: White flaky particles are more suggestive of dry scalp or dandruff, not head lice.
D. Lesions in the scalp that extend to the hairline or neck: Lesions extending to the hairline or neck could indicate secondary infection but are not specific to head lice infestation.

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Correct Answer is D

Explanation

A. Apply cold compresses to the affected areas. Cold can cause vasoconstriction, which may worsen the sickling and pain. Heat packs are generally recommended to promote circulation and relieve pain.
B. Implement pain management on a PRN basis. Pain management should be consistent and proactive rather than PRN (as needed). Regular pain control is essential in managing sickle cell crises.
C. Active range-of-motion (ROM) exercises daily. During a crisis, the child should rest and avoid physical activity to prevent further pain and complications. ROM exercises are more appropriate during non-crisis times for maintaining joint function.
D. Promote hydration with IV and oral fluids. Hydration is crucial during a sickle cell crisis as it helps to decrease blood viscosity, reducing the risk of further sickling and vaso-occlusive events.

A. "I'm tired and want to take a nap." B. "I am scared and I want to go home C. "I am hungry and thirsty." D. "My belly doesn't hurt anymore."

Correct Answer is D

Explanation

A. "I'm tired and want to take a nap." Common in sick children and not necessarily concerning in this context.
B. "I am scared and I want to go home." Emotional response, typical in children facing surgery.
C. "I am hungry and thirsty." Normal sensations and not indicative of the severity of the condition.
D. "My belly doesn't hurt anymore." This statement suggests potential rupture or perforation of the appendix, which can lead to peritonitis and is a surgical emergency. A sudden relief of pain can indicate a worsening condition rather than improvement.

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The school nurse is performing pediculosis capitis (head lice) assessments. Which assessment finding indicates that a child has a "positive" head check for lice?

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Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a child who has sickle cell crisis. Which of the following actions should the nurse recommend to include?

Correct Answer is D

Explanation

A school-age child in an emergency department has a 2-day history of nausea and vomiting and reports severe right lower quadrant pain. A nurse is preparing the child for an appendectomy. Which of the following statements by the child should the nurse find most concerning?

Correct Answer is D

Explanation

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