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.)

Answer and Explanation

The Correct Answer is {"xRanges":[202.765625,242.765625],"yRanges":[264.609375,304.609375]}

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.

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Correct Answer is C

Explanation

A. Tying restraints to the side rails poses a risk of injury to the child and is not a recommended practice.
B. Renewing the prescription for restraints every 48 hours is important, but it does not directly address the proper application of restraints.
C. Securing restraints with a quick-release knot allows for quick removal in case of emergency and is the correct method for applying restraints.
D. Assessing the child every 4 hours while in restraints is important, but it does not address the proper application of restraints.

A. “Discontinue this medication if gastrointestinal upset occurs.” B. “Limit your child’s intake of potassium-rich foods.” C. “Expect that this medication will stimulate a growth spurt.” D. Monitor your child for indications of infection.”

Correct Answer is D

Explanation

A. Instructing the parent to discontinue prednisone if gastrointestinal upset occurs is not appropriate, as abrupt discontinuation of corticosteroids can lead to adrenal insufficiency. Monitoring for and managing gastrointestinal upset while continuing the medication as prescribed is more appropriate.
B. Limiting intake of potassium-rich foods is not specifically indicated with prednisone therapy. Prednisone may increase the risk of potassium loss, but dietary adjustments should be made under medical guidance.
C. Prednisone can affect growth in children, but it is more commonly associated with slowing growth rather than stimulating a growth spurt. This statement is misleading and not accurate.
D. Monitoring the child for indications of infection is crucial when taking prednisone, as corticosteroids can suppress the immune system and increase susceptibility to infections. This statement addresses an important aspect of medication safety and is the priority in discharge teaching.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is applying soft limb restraints to a child who is acting aggressively toward staff. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic arthritis and a new prescription for prednisone. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

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