A school nurse is assessing a school-age child and notices white flakes that don't brush off the hair and a rash on the back of the child's neck. The nurse should suspect which of the following disorders?
Pediculosis capitis
Impetigo contagiosa
Folliculitis
Tinea capitis
The Correct Answer is D
A. Pediculosis capitis, commonly known as head lice, is characterized by the presence of live lice and nits (lice eggs) attached to the hair shaft close to the scalp. They do not typically cause a rash on the back of the neck.
B. Impetigo is a bacterial skin infection characterized by red sores or blisters that rupture and form honey-colored crusts. It commonly affects areas of the body with broken skin, such as the face, hands, and arms.
C. Folliculitis is inflammation or infection of the hair follicles caused by bacteria or fungi. It can result in red, swollen, and pus-filled bumps around hair follicles.
D. Tinea capitis is a fungal infection of the scalp and hair follicles. It is characterized by the presence of white or grayish flakes that adhere to the hair shafts and cannot be easily brushed off, along with a rash or scaly patch on the scalp. The rash may extend to the back of the neck.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The frequency of peak flow monitoring should be determined by the healthcare provider and vary depending on the severity of the asthma.
B. Encouraging physical activity is important for overall health, including for children with asthma. Specific sports depend on triggers
C. Identifying and avoiding triggers that can exacerbate asthma symptoms is an essential part of asthma management. By avoiding triggers whenever possible, the child can help prevent asthma attacks and maintain better control of their condition.
D. Cromolyn sodium is a mast cell stabilizer that can help prevent asthma symptoms when used regularly, but it is not typically used for immediate relief of symptoms at the first sign of breathing difficulty. Short-acting bronchodilators, such as albuterol, are usually recommended for quick relief of asthma symptoms.
Correct Answer is A
Explanation
Notifying the provider allows for assessment of the situation, possibly perform a medical evaluation to determine if the bruises are of medical concern, and decide on further actions.
B. Ask the toddler what caused the bruises is not always reliable to provide information of sensitive issues. However, asking them can sometimes provide useful information.
C. Ask the parents what caused the bruises may mislead the team as the parents may lie about the bruises if they are perpetrators of child abuse.
D. Notification of social service is important in suspected cases of neglect or abuse. However, this should follow assessment by the provider
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