A 6-year-old child is brought to the clinic because the mother has noticed the child scratching the anal area frequently. The nurse suspects the child has pinworms. Which childhood behavior enhances the transmission of pinworms?

Failing to regularly wash their hands after eating.

Failing to adequately wipe themselves after toileting.

Sharing their clothing with friends.

Engaging in frequent hand-to-mouth activity.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Failing to regularly wash their hands after eating may contribute to the transmission of various infections, but it's not specifically related to pinworms.

Choice B rationale:

Failing to adequately wipe themselves after toileting can lead to the transfer of pinworm eggs from the anal area to the fingers and under the nails. This behavior increases the risk of ingesting the eggs through hand-to-mouth contact, which can perpetuate the pinworm infection cycle.

Choice C rationale:

Sharing clothing with friends might facilitate the transmission of certain infections like lice or fungal infections, but it's not a common mode of transmission for pinworms.

Choice D rationale:

Engaging in frequent hand-to-mouth activity might increase the risk of ingesting pinworm eggs, but the eggs are more likely to be present on the hands due to inadequate wiping after toileting.

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Correct Answer is A

Explanation

Dust the child's room with a damp cloth every week.

Choice A rationale:

Dusting the child's room with a damp cloth weekly is the most appropriate strategy. This minimizes allergen exposure by capturing and removing dust particles instead of dispersing them, as dry dusting might. Consistent, thorough cleaning can help prevent exacerbations.

Choice B rationale:

Providing down pillows might aggravate allergies due to their potential to harbor dust mites and allergens, worsening the child's asthma symptoms.

Choice C rationale:

Using a warm mist humidifier could promote mold growth and allergen accumulation in the room, potentially worsening asthma symptoms rather than alleviating them.

Choice D rationale:

Encouraging the child to go outside in cold air during an asthma attack is not recommended. Cold air can trigger bronchospasms and worsen asthma symptoms, making this strategy potentially harmful.

A. Increased respirations. B. Widened pulse pressure. C. Prolonged capillary refill. D. Decreased blood pressure.

Correct Answer is B

Explanation

Choice A rationale:

Increased respirations are not a specific symptom of increased intracranial pressure (ICP). They might occur due to other respiratory or metabolic issues.

Choice B rationale:

Widened pulse pressure (the difference between systolic and diastolic blood pressure) is a sign of increased ICP. It results from increased systolic pressure due to the body's attempt to compensate for the rising pressure within the skull.

Choice C rationale:

Prolonged capillary refill is indicative of decreased peripheral perfusion or shock, which can be caused by various factors but is not directly related to ICP.

Choice D rationale:

Decreased blood pressure is not a consistent symptom of increased ICP. In fact, widened pulse pressure is more characteristic.

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A 6-year-old child is brought to the clinic because the mother has noticed the child scratching the anal area frequently. The nurse suspects the child has pinworms. Which childhood behavior enhances the transmission of pinworms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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