A school nurse is providing teaching to the guardian of a child who has pediculosis. Which of the following statements by the guardian indicates an understanding of the teaching?

"I will seal nonwashable items in a plastic bag for 1 week."

"I will place hairbrushes, combs, and hair accessories in boiling water for 10 minutes."

"I will wash my child's clothing and bedding using a double rinse."

"I will use the medicated shampoo on my child's hair daily for 3 days."

Answer and Explanation

The Correct Answer is B

A. "I will seal nonwashable items in a plastic bag for 1 week." Nonwashable items (e.g., stuffed animals, pillows) should be sealed in a plastic bag for at least 2 weeks, not just 1 week, to ensure all lice and nits die.

B. "I will place hairbrushes, combs, and hair accessories in boiling water for 10 minutes." Boiling these items in water for at least 5–10 minutes effectively kills lice and nits.

C. "I will wash my child's clothing and bedding using a double rinse." Clothing and bedding should be washed in hot water (at least 130°F or 54°C) and dried on high heat, but a double rinse is not necessary.

D. "I will use the medicated shampoo on my child's hair daily for 3 days." Medicated lice shampoos should be used once, followed by a repeat application in 7–10 days if needed. Daily use is not recommended due to potential toxicity and irritation.

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Correct Answer is B

Explanation

A. "I will be excused from physical education class." Exercise is encouraged for children with cystic fibrosis (CF) because it helps clear mucus from the lungs and improves overall lung function.

B. "I will increase my intake of vitamin D." People with CF have difficulty absorbing fat-soluble vitamins (A, D, E, and K) due to pancreatic insufficiency. Vitamin D supplementation is essential to prevent deficiencies and support bone health.

C. "I will limit my calcium intake to prevent kidney stones." CF patients are at risk for osteoporosis due to malabsorption of calcium and vitamin D, so they should increase, not limit, their calcium intake.

D. "I will take fewer enzymes when I eat high-fat foods." CF patients require pancreatic enzyme replacement therapy (PERT) with every meal and snack to aid digestion. More enzymes, not fewer, are needed for high-fat meals to properly digest and absorb nutrients.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

Severe Pain Management: The child's pain increased from 7/10 to 10/10, indicating worsening vaso-occlusive crisis. IV hydromorphone (Dilaudid) is a strong opioid analgesic commonly used for severe sickle cell pain when first-line options (e.g., morphine) are insufficient. Swelling and warmth in the right knee suggest ongoing vaso-occlusion and inflammation. Increased blood pressure (120/74 mm Hg) and respiratory rate (25/min) likely indicate pain-related distress.

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A school nurse is providing teaching to the guardian of a child who has pediculosis. Which of the following statements by the guardian indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching an adolescent how to manage his cystic fibrosis. Which of the following statements by the adolescent indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is caring for a 12-year-old client who has sickle cell disease. Complete the following sentence by using the lists of options. The nurse should anticipate a provider prescription for _____ due to the child's ______.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

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