A child allergic to insect stings presents to the school nurse stating, "A bee stung me on the playground." Which action by the school nurse should be prioritized?

Apply topical diphenhydramine to affected site.

Apply a cool pack to reduce the swelling.

Position the child in a supine position with legs elevated.

Assess the client's airway and breathing rate.

Answer and Explanation

The Correct Answer is D

A. Applying topical diphenhydramine may help with local itching but is not the priority in a child with a known allergy to insect stings.

B. A cool pack can reduce swelling but is not the priority action if an allergic reaction is suspected.

C. Positioning the child with legs elevated is appropriate if there are signs of shock but does not address the immediate risk of airway compromise.

D. Assessing the client's airway and breathing rate is the priority because a child with a known allergy to insect stings is at risk for anaphylaxis, which can cause airway obstruction and respiratory distress. Early recognition and intervention are critical.

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Correct Answer is B

Explanation

A. Changing routines frequently might confuse the child rather than stimulate initiative.

B. Rewarding the child for showing initiative positively reinforces the behavior and encourages further development.

C. Allowing the child to make choices about playmates can foster independence but may not directly stimulate initiative.

D. Setting appropriate limits is important for a child's development, but not setting any limits can lead to behavioral issues rather than promoting initiative.

A. "We will increase our child's fiber intake." B. "We will teach our child to wipe from front to back." C. "My child may need a follow-up to a specialist due to recurrent infections." D. "No additional testing is required after the course of antibiotics are complete."

Correct Answer is D

Explanation

A. Increasing fiber intake is beneficial for overall digestive health and can prevent constipation, which may help in reducing the risk of UTIs.

B. Wiping from front to back is crucial in preventing the spread of bacteria from the anal area to the urinary tract, reducing the risk of recurrent UTIs.

C. Follow-up with a specialist may be necessary if the child has recurrent UTIs, to rule out underlying issues such as vesicoureteral reflux.

D. No additional testing after antibiotics might be needed for a simple UTI, but in cases of recurrent UTIs, further testing is often required to ensure the infection has resolved and to investigate any underlying causes.

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A child allergic to insect stings presents to the school nurse stating, "A bee stung me on the playground." Which action by the school nurse should be prioritized?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is explaining to parents that the preschooler's developmental task is focused on the development of initiative rather than guilt. What is a priority intervention the nurse might recommend for parents of preschoolers to stimulate initiative?

Correct Answer is B

Explanation

A 5-year-old girl presents to the clinic with a urinary tract infection (UTI). After educating the family on preventing recurrent infections, what statement by the family indicates further teaching is needed?

Correct Answer is D

Explanation

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