A nurse is checking a school-age child for pediculosis capitis (head lice). Which of the following findings is a definitive indication of this condition?

Itching and scratching of the head

Patchy areas of hair loss

Firmly attached white particles on the hair

Thick, yellow-crusted lesions on a red base

Answer and Explanation

The Correct Answer is C

A. Itching and scratching of the head. While itching is a common symptom, it is not a definitive sign of head lice. Other conditions (e.g., dandruff, seborrheic dermatitis, or dry scalp) can also cause itching.

B. Patchy areas of hair loss. Hair loss is not a characteristic sign of head lice. It may indicate alopecia areata or tinea capitis (scalp ringworm) instead.

C. Firmly attached white particles on the hair. The presence of nits (lice eggs) that are firmly attached to the hair shaft near the scalp is a definitive sign of pediculosis capitis. Nits do not flake off like dandruff and are difficult to remove.

D. Thick, yellow-crusted lesions on a red base. This describes impetigo, a bacterial skin infection, not head lice.

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Correct Answer is D

Explanation

A. "Right now, I can't bathe or dress myself, but my family will help me." Dependence on family for basic self-care suggests the client is not yet independent enough for discharge.

B. "I can always come stay in the hospital again if I don't want to take care of my own needs." This statement shows a lack of commitment to self-care and reliance on hospitalization as a coping mechanism.

C. "Taking care of myself is important, but it's okay if I don't want to do anything." Readiness for discharge includes a commitment to self-care, and this statement suggests a lack of motivation.

D. "I will take my medicines as I should and know who to call if I have bad thoughts." This statement shows insight into the importance of medication adherence and knowledge of available support resources, indicating readiness for discharge.

Correct Answer is ["30"]

Explanation

30 mL: Minimum acceptable hourly urine output in adults, indicating adequate kidney perfusion.

Less than 30 mL/hr: Suggests oliguria, which may indicate impaired renal function or decreased perfusion, requiring provider notification.

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A nurse is checking a school-age child for pediculosis capitis (head lice). Which of the following findings is a definitive indication of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse assisting in the care of a client who has a mood disorder. Which of the following client statements by the client indicates readiness for discharge?

Correct Answer is D

Explanation

A nurse is caring for a client who has impaired renal function. The nurse should notify the provider if the client's hourly urine output falls below what amount? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["30"]

Explanation

A nurse is contributing to the plan of care for a client who has frequent diarrheal stools. Which of the following interventions should the nurse include in the plan?

As clients age. skin goes through several changes. Which of the following identifies a change you may see in an elderly client's skin?

A nurse is collecting data from a client who is experiencing stress. Which of the following findings should indicate to the nurse ineffective coping?

A nurse is assisting in preparing a presentation at a senior center about age-related musculoskeletal changes. Which of the following alterations is appropriate for the nurse to include?

A nurse is emptying a client's urinal when she notices the urine is dark amber, cloudy, and has a foul or unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following?

A nurse is reviewing the laboratory findings for a client who had a urinalysis. Which finding should the nurse report to the provider?

An older adult client in a long-term care facility has dementia and begins to have frequent episodes of urinary incontinence. After the provider finds no medical cause for his incontinence, which of the following interventions should the nurse initiate to manage this behavior?