A child presents to your clinic with a chief complaint of itchy, watery eyes bilaterally. The parent also reports sneezing and a clear, runny nose. Which of the following statements by the parent indicates they understand the teaching provided?
"We will administer the antibiotics as prescribed"
"This condition is caused by a virus."
"There is no need for antibiotics for this condition."
"We will notify the daycare of our child's condition"
The Correct Answer is C
A. Allergic conjunctivitis and allergic rhinitis are not caused by bacteria, so antibiotics offer no benefit. Using antibiotics unnecessarily increases the risk of resistance and exposes the child to unnecessary medication side effects. This statement shows the parent has misunderstood the teaching.
B. The child’s symptoms, itchy, watery eyes, sneezing, and clear rhinorrhea, are classic findings of allergic conjunctivitis and allergic rhinitis, not a viral infection. Viral infections usually involve redness, discomfort, and often systemic symptoms such as fever, malaise, or thicker nasal secretions.
C. Allergic symptoms are caused by an immune response to allergens, not bacteria or viruses. Therefore, antibiotics are not required. Treatment focuses on antihistamines, allergen avoidance, and symptomatic relief, making this the statement that best reflects proper understanding.
D. Allergic conjunctivitis is not contagious, so notifying the daycare is not required. This response suggests the parent believes the condition may spread to others, which indicates misunderstanding of the teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The Pavlik harness is typically worn continuously, including during diaper changes, except when specifically instructed by the healthcare provider. Frequent removal can compromise hip positioning and reduce treatment effectiveness.
B. While some cases may require further intervention if the harness is unsuccessful, the Pavlik harness often is the primary treatment for infants with developmental dysplasia of the hip (DDH) under 6 months of age. This statement is misleading for parent teaching.
C. The Pavlik harness is generally worn for several weeks to months, depending on the infant’s response and severity of hip dysplasia. Two weeks is insufficient for proper hip stabilization.
D. The Pavlik harness is designed to hold the infant’s hips in flexion and abduction, promoting proper alignment of the femoral head in the acetabulum. This positioning allows the hip joint to develop normally and reduces the risk of long-term complications such as hip subluxation or dislocation. This statement accurately conveys the purpose of the device and is essential for parent education.
Correct Answer is A
Explanation
A. 60.63 inches: 1 inch = 2.54 cm. 154 cm ÷ 2.54 = 60.6299… ≈ 60.63 inches (rounded off to the nearest hundredths).
B. 61 inches: This rounds 60.6299… to the nearest whole number, not to two decimal places as the question specifies. Precision is lost.
C. 60.62 inches: This rounds down incorrectly. 60.6299… rounds up to 60.63, not 60.62, when following standard rounding rules.
D. 60 inches: This is a rough estimate, rounding down to the nearest whole number. It is significantly less precise and does not meet the requirement to round to two decimal places.
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