Parents report their 3-year-old child appears restless at night and frequently scratches her anal area. What action by the nurse is best?
Review hygiene practices with the parents.
Suggest the child sleep only in pajama tops.
Ask parents to bring in a stool sample.
Educate parents on the cellophane tape test.
The Correct Answer is D
A. While reviewing hygiene practices is important, it does not confirm the cause of the nighttime anal itching, which could be due to pinworm infection.
B. Limiting clothing is not an effective diagnostic or treatment measure for suspected pinworm infection.
C. A stool sample is not reliable for diagnosing pinworms, as eggs are laid around the anus at night, not in stool.
D. The cellophane tape test is the preferred diagnostic method for Enterobius vermicularis (pinworm). It involves placing clear tape on the perianal area in the morning to collect eggs for microscopic examination, allowing accurate diagnosis and appropriate treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Infectious mononucleosis typically presents with fever, sore throat, and lymphadenopathy, but does not usually cause parotid swelling or testicular pain.
B. Herpes zoster (shingles) causes a painful vesicular rash along a dermatome and is rare in adolescents; it does not cause parotitis or orchitis.
C. Poliomyelitis can cause fever, malaise, and in severe cases, paralysis, but it does not present with parotid swelling or testicular pain.
D. Mumps is a viral infection characterized by fever, headache, malaise, and parotid gland swelling, often accompanied by painful chewing. In post-pubertal males, orchitis (testicular pain and swelling) is a common complication, making this the most consistent diagnosis.
Correct Answer is ["B","D"]
Explanation
A. Scented diaper wipes can irritate the sensitive skin of infants and worsen diaper dermatitis; unscented or plain water is preferred.
B. Refraining from using rubber pants over diapers allows the skin to breathe and reduces moisture accumulation, which helps prevent and manage diaper rash.
C. Antibacterial soaps are harsh and can further irritate the skin; gentle cleansing with mild soap and water is recommended.
D. Topical nystatin is appropriate if a fungal infection (Candida) is present, which is common in persistent or severe diaper dermatitis.
E. Using a blow dryer can irritate or burn the infant’s delicate skin; air-drying or gentle patting with a soft cloth is safer.
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