A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following actions should the nurse take?

Collect a stool specimen for culture.

Initiate IV fluids.

Perform a tape test.

Test the stool for occult blood.

Answer and Explanation

The Correct Answer is C

Choice A reason: Collecting a stool specimen for culture is not the preferred method for diagnosing Enterobius vermicularis, as the pinworm eggs are rarely present in the stool.

Choice B reason: Initiating IV fluids is not a diagnostic measure for Enterobius vermicularis and is not relevant unless the child is dehydrated or requires fluids for another reason.

Choice C reason: The tape test is the standard diagnostic procedure for Enterobius vermicularis. It involves placing clear tape around the anus to collect any eggs that may be present, which are then examined under a microscope.

Choice D reason: Testing the stool for occult blood is not a diagnostic measure for Enterobius vermicularis, as this infection does not typically cause bleeding.

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Correct Answer is ["A","C","D","E"]

Explanation

Choice A reason: A sensation of being cold can occur as the body's circulation diminishes and blood flow to the extremities decreases.

Choice B reason: A heightened sense of hearing is not typically a sign of impending death; this choice is incorrect.

Choice C reason: Difficulty swallowing can be a sign of impending death due to the body's muscles weakening and a decrease in reflexes.

Choice D reason: Tachycardia may occur as the heart tries to compensate for decreased function in other systems.

Choice E reason: Cheyne-Stokes respirations, characterized by a pattern of irregular breathing, are a common sign of impending death.

A. Use a universal dropper for medication administration B. Add the medication to a formula bottle before feeding C. Ask the pharmacy to add flavoring to the medication D. Use the nipple of a bottle to administer the medication

Correct Answer is ["A","C"]

Explanation

Choice A reason: Using a universal dropper ensures accurate dosing, which is crucial for infants due to their small size and the precise dosing required for their medications.

Choice B reason: Adding medication to a formula bottle is not recommended because if the infant does not finish the bottle, they will not receive the full medication dose.

Choice C reason: Flavoring can help mask the taste of medications, making it easier for infants to take them, which is especially useful if the medication has an unpleasant taste.

Choice D reason: Using the nipple of a bottle can be an effective way to administer medication to an infant who is used to bottle-feeding, as it can make the process more familiar and comfortable.

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A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who is dying. Which of the following are findings of impending death? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

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Correct Answer is ["A","C"]

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