A school nurse is assessing a school-age child and notices silver specks that resemble dandruff but don’t brush off the hair. The child continuously scratches at the nape of their neck. The nurse should suspect which of the following disorders?

Impetigo contagiosa

Folliculitis

Tinea capitis

Pediculosis capitis

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Impetigo contagiosa is a highly contagious bacterial skin infection that primarily affects children. It typically presents as reddish sores on the face, especially around the nose and mouth, which quickly rupture, ooze for a few days, and then form a honey-colored crust. While impetigo can cause itching, it does not produce silver specks that resemble dandruff or cause persistent scratching at the nape of the neck.

Choice B Reason:

Folliculitis is an infection of the hair follicles, often caused by bacteria, fungi, or viruses. It presents as small red bumps or white-headed pimples around hair follicles. Folliculitis can cause itching and discomfort, but it does not typically produce silver specks that resemble dandruff. The symptoms are more likely to include clusters of small red bumps or pus-filled blisters rather than dandruff-like specks.

Choice C Reason:

Tinea capitis, also known as scalp ringworm, is a fungal infection of the scalp. It can cause patches of hair loss, dry scaly rashes, severe itchiness, and sometimes swollen lymph nodes. While tinea capitis can cause flaking that resembles dandruff, it does not typically present with silver specks that do not brush off. The primary symptoms are more likely to include red, inflamed patches and hair loss.

Choice D Reason:

Pediculosis capitis, or head lice infestation, is characterized by the presence of lice and their eggs (nits) on the scalp and hair. The nits are often mistaken for dandruff but do not brush off easily. The primary symptoms include intense itching, especially at the nape of the neck and behind the ears, and the presence of small, white or silver specks (nits) attached to the hair shafts. This matches the description provided in the question, making pediculosis capitis the most likely diagnosis.

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Free Nursing Study Resources

Correct Answer is ["90"]

Explanation

Sure, let’s go through the calculations step by step.

Step 1: Determine the dosage per kilogram. 5 mg/kg

Step 2: Multiply the dosage per kilogram by the client’s weight in kilograms. 5 mg/kg × 18 kg = 90 mg

Step 3: The nurse should administer 90 mg per dose.

So, the nurse should administer 90 mg per dose.

A. Suction the mouth with an oral suction tube. B. Feed the infant with a spoon for 48 hours. C. Apply and release elbow restraints every hour. D. Keep the infant supine.

Correct Answer is C

Explanation

Choice A Reason:

Suctioning the mouth with an oral suction tube is not recommended postoperatively for cleft palate repair. This procedure can disrupt the surgical site and cause bleeding or damage to the repair. Instead, gentle cleaning methods should be used to maintain oral hygiene.

Choice B Reason:

Feeding the infant with a spoon for 48 hours is not appropriate. Postoperative care for cleft palate repair typically involves using a specialized bottle or syringe to avoid disrupting the surgical site. Feeding with a spoon can cause trauma to the delicate tissues and should be avoided.

Choice C Reason:

Applying and releasing elbow restraints every hour is crucial to prevent the infant from touching or putting objects in their mouth, which could damage the surgical repair. The restraints should be checked and adjusted regularly to ensure they are not too tight and to allow for movement and comfort.

Choice D Reason:

Keeping the infant supine is not specifically required for postoperative care following cleft palate repair. The infant can be positioned in a way that is comfortable and safe, as long as it does not interfere with the surgical site. Elevating the head slightly can help reduce swelling and promote drainage.

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A school nurse is assessing a school-age child and notices silver specks that resemble dandruff but don’t brush off the hair. The child continuously scratches at the nape of their neck. The nurse should suspect which of the following disorders?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["90"]

Explanation

A nurse is planning care for a 10-month-old infant who is 8 hours postoperative following cleft palate repair. Which of the following interventions should the nurse include in the infant’s plan of care?

Correct Answer is C

Explanation

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