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 {"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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Toddlers thrive on routines and consistency, which provide them with security and predictability.
B. Toddlers are in a stage of development where they assert their independence and autonomy by saying "no" or "mine" to almost everything. This is a normal and healthy behavior that reflects their growing sense of self and identity. The nurse should explain to the guardian that this behavior is not meant to be defiant or disrespectful, but rather a way of exploring their environment and expressing their preferences.
C. Toddlers are typically emotionally labile, meaning they can experience rapid changes in mood and emotions.
D. Toddlers may display increased independence rather than increased dependency as they strive to assert their autonomy.
Correct Answer is B
Explanation
A. Placing the child prone (face-down) is not appropriate for a lumbar puncture as it would make access to the lumbar spine difficult.
B. Placing the child in a lateral position (lying on their side with knees drawn up towards the chest) allows for proper positioning of the spine for the lumbar puncture procedure.
C. Placing the child supine (lying on their back) is not appropriate for a lumbar puncture as it does not provide the necessary spinal alignment for the procedure.
D. Placing the child in a semi-Fowler's position (with the head of the bed elevated at a 45-degree angle) is not appropriate for a lumbar puncture as it does not facilitate access to the lumbar spine.
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