A nurse is assessing a child who has measles. Which of the following areas should the nurse inspect for Koplik spots? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
A
B
C
D
The Correct Answer is C
A. This is not the site where kolpik spots are located.
B. This is not the site where kolpik spots are located.
C. Koplik spots are small, white or bluish-white spots that appear on the inside of the cheeks, usually opposite the lower molars, in people who have measles. They are a sign of the infection and can be seen one to four days before the skin rash develops. They are surrounded by a red ring and look like grains of salt. Koplik spots are very helpful for diagnosing measles, especially when other diseases have similar symptoms.
D. This is not the site where kolpik spots are located.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Clear urine indicates that the kidneys are functioning properly, with decreased protein and blood in the urine, which is a sign that treatment for poststreptococcal glomerulonephritis has been effective.
B. Pain with voiding is not a characteristic symptom of poststreptococcal glomerulonephritis, so this finding would not indicate treatment effectiveness.
C. Odorless urine is normal but does not specifically reflect improvement in glomerulonephritis.
D. A normal temperature (37.2° C) could indicate general health, but it is not specific for kidney function improvement in this condition.
Correct Answer is B
Explanation
A. Decreased appetite is more likely to occur with hyperglycemia (high blood sugar), not hypoglycemia.
B. Shakiness is a common sign of hypoglycemia (low blood sugar), which can occur in children with diabetes. Immediate action is required to treat hypoglycemia.
C. Increased capillary refill is a sign of improved circulation, which is not associated with hypoglycemia.
D. Thirst is typically a sign of hyperglycemia, not hypoglycemia.
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