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 D
Explanation
A. Mixing digoxin with formula is not recommended, as it may affect the medication's absorption and effectiveness. It should be administered separately and as prescribed.
B. Giving an antiemetic may be considered if vomiting persists and is severe, but it is not the initial action. The nurse should first ensure the infant is stable and then administer the next dose of digoxin as prescribed.
C. Increasing fluid intake may help prevent dehydration if vomiting persists, but it does not address the administration of the next dose of digoxin.
D. Administering the next dose of digoxin as prescribed is appropriate, as long as the infant is stable and vomiting has ceased. The nurse should monitor for signs of toxicity and notify the healthcare provider if vomiting continues or if there are concerns about absorption.
Correct Answer is A
Explanation
A. Infusing each unit of blood within 4 hours is a standard practice to minimize the risk of bacterial contamination and ensure the effectiveness of the transfusion. This intervention helps maintain the integrity and safety of the blood product.
B. Infusing dextrose 5% in water during the infusion of packed RBCs is unnecessary and not recommended as it can lead to hemolysis of the blood cells and potential adverse reactions.
C. Storing the second unit of blood at room temperature for up to 2 hours is incorrect practice. Blood products should be stored according to specific guidelines to maintain their integrity and safety.
D. Administering RBCs using non-filtered IV tubing is inappropriate as it can lead to the infusion of clots or debris, which can be harmful to the patient. The use of filtered IV tubing is recommended to ensure the safety of the transfusion.
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