A young child has been admitted with a diagnosis of enterobiasis (pinworm infection). This child will most likely have a history of:
Perianal itching.
Malnutrition.
Bedwetting.
Restlessness.
The Correct Answer is A
Choice A reason: Perianal itching is the hallmark symptom of enterobiasis, caused by pinworms laying eggs at night, irritating the skin. This aligns with pediatric infectious disease evidence, making it the most likely history in a child admitted with pinworm infection, accurately reflecting the condition’s presentation.
Choice B reason: Malnutrition is not typically associated with pinworms, which cause localized irritation rather than systemic nutrient loss. Perianal itching is the primary symptom, making this incorrect, as it does not reflect the usual clinical history of a child with enterobiasis in a hospital setting.
Choice C reason: Bedwetting is unrelated to pinworm infection, which primarily causes perianal itching due to nocturnal egg-laying. Itching is the expected history, making this incorrect, as bedwetting does not correlate with the typical presentation of enterobiasis in a young admitted child.
Choice D reason: Restlessness may occur due to itching but is less specific than perianal itching, the defining symptom of pinworms. Itching directly ties to the diagnosis, making this less precise and incorrect compared to the primary history expected in a child with enterobiasis infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Assuming fear of pregnancy may misinterpret the 12-year-old’s concerns, potentially shutting down dialogue. Asking about worries invites her to share specific fears, making this presumptive and incorrect compared to the nurse’s role in exploring the child’s feelings about menstruation openly.
Choice B reason: Suggesting fear of pain narrows the conversation, missing other possible concerns like embarrassment or myths. Asking about worries allows broader exploration, making this limiting and incorrect compared to the nurse’s approach to understanding the girl’s specific fears about getting her period.
Choice C reason: Dismissing the child’s fear by calling periods “good” may invalidate her feelings, discouraging openness. Asking about worries validates concerns, making this dismissive and incorrect compared to the nurse’s role in fostering a supportive dialogue about menstruation with the 12-year-old.
Choice D reason: Asking what the child has heard about periods encourages her to express specific worries, facilitating education and reassurance. This aligns with pediatric nursing communication principles, making it the most appropriate response to address the 12-year-old’s concerns about menarche during the check.
Correct Answer is B
Explanation
Choice A reason: For a 75-lb child (34 kg), the daily dose range is 1122-1632 mg (33-48 mg/kg). Divided by 4, each dose is 280.5-408 mg. 280 mg is slightly below the minimum, making this borderline and incorrect compared to a dose within the safe therapeutic range for administration.
Choice B reason: A 75-lb child weighs 34 kg (75 ÷ 2.2). The daily dose range is 1122-1632 mg (33-48 mg/kg), so per dose (÷4) is 280.5-408 mg. 375 mg falls within this range, aligning with pediatric pharmacology, making it the correct dosage to administer per dose.
Choice C reason: For a 75-lb child (34 kg), the daily dose range is 1122-1632 mg (33-48 mg/kg), with each dose (÷4) being 280.5-408 mg. 408 mg is at the maximum but within range, making this correct but less optimal than 375 mg, which is safer within the therapeutic window.
Choice D reason: A 75-lb child (34 kg) requires 1122-1632 mg daily (33-48 mg/kg), so each dose (÷4) is 280.5-408 mg. 250 mg is below the minimum, risking underdosing, making this incorrect compared to 375 mg, which is safely within the therapeutic range for the child.
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