A nurse is reinforcing teaching about pediculus capitis with the parents of a school-age child at a well-child visit. Which of the following Information should the nurse include?

"Lice can jump from one child to another."

"Washing your child's hair daily will prevent lice."

"Lice do not survive away from the host."

"Encourage your child to avoid sharing hats with other children."

Answer and Explanation

The Correct Answer is D

A. "Lice can jump from one child to another." Lice do not jump or fly; they crawl from one person to another through direct contact or by sharing personal items like hats, combs, or bedding. This statement is incorrect.

B. "Washing your child's hair daily will prevent lice." Regular hair washing does not prevent lice infestations. Lice infest clean and dirty hair alike, and prevention involves avoiding direct head-to-head contact and sharing personal items.

C. "Lice do not survive away from the host." While lice need a human host to survive, they can live for up to 1-2 days away from the host on objects like bedding, hats, or brushes. This statement is not completely accurate.

D. "Encourage your child to avoid sharing hats with other children." This is correct advice to prevent the spread of lice. Sharing hats or other personal items can facilitate the transmission of lice from one child to another.

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Correct Answer is C

Explanation

A. "He takes his medication between meals with water." Taking carbamazepine with food helps reduce gastrointestinal upset, but taking it between meals is not critical unless there are specific issues. This is not a priority unless the patient is experiencing significant GI discomfort.

B. "He only sleeps about 5 hours each night." Insufficient sleep can exacerbate seizure disorders, but it is not directly life-threatening. Improving sleep hygiene is important but not the most immediate concern compared to other symptoms.

C. "He seems to be getting a lot more bumps and bruises lately." Increased bruising can indicate thrombocytopenia, a potential side effect of carbamazepine, which can lead to serious bleeding issues. This is the priority as it may indicate a severe adverse effect requiring immediate medical attention and possible adjustment of medication.

D. "He has not been eating as much lately." Decreased appetite can be a side effect of many medications, including carbamazepine, but it is generally not immediately dangerous unless it leads to significant weight loss or nutritional deficiencies. It’s important but not the most urgent concern.

A. "Bend forward from the waist with your head and arms downward." B. "Lie prone on the examination table." C. "Touch your chin to your chest, and then look up at the ceiling." D. "Turn to the side, and remain in a relaxed position."

Correct Answer is A

Explanation

A. "Bend forward from the waist with your head and arms downward." This position, known as the Adam’s forward bend test, is commonly used to screen for scoliosis. It allows the nurse to observe for any asymmetry in the rib cage or spine, which could indicate scoliosis.

B. "Lie prone on the examination table." Lying prone (face down) does not allow for the assessment of spinal curvature or rib asymmetry. This position is not useful for scoliosis screening.

C. "Touch your chin to your chest, and then look up at the ceiling." These movements assess neck flexibility and range of motion, which are not relevant for screening scoliosis.

D. "Turn to the side, and remain in a relaxed position." Turning to the side and relaxing does not provide the necessary view of the spine to assess for scoliosis. This position does not allow for a clear view of any asymmetry in the spine or ribs.

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A nurse is reinforcing teaching about pediculus capitis with the parents of a school-age child at a well-child visit. Which of the following Information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an adolescent client who is receiving carbamazepine (Tegretol) for partial seizure disorder. Which of the following statements by the adolescent's parent is the priority for the nurse to address?

Correct Answer is C

Explanation

A school nurse is screening an 11-year-old child for idiopathic scoliosis. Which of the following instructions should the nurse give the child for this examination?

Correct Answer is A

Explanation

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