The caregiver of a 4-year-old girl who lives in a heavily wooded area calls the clinic nurse to report that the child has a swollen tick on her arm. What would be the best action for the caregiver to follow in removing the tick?
The caregiver should use tweezers to carefully remove the tick without crushing it.
The caregiver should hold a gauze pad beneath the tick to catch the blood and carefully crush the tick.
The caregiver should have another adult hold the child still, light a match and let it burn for 1 second, then blow out the match and quickly hold it on the tick.
The caregiver should take the child to a healthcare facility where the tick can be removed aseptically.
The Correct Answer is A
Choice A reason: Using tweezers to gently remove a tick without crushing it minimizes infection risk and ensures complete removal, reducing Lyme disease transmission. This aligns with pediatric infectious disease guidelines for tick removal, making it the best action for the caregiver to follow for the 4-year-old.
Choice B reason: Crushing the tick risks releasing pathogens into the bite site, increasing infection risk. Gentle tweezer removal is the standard, as it avoids dispersing tick contents, making this unsafe and incorrect for the proper method of removing a swollen tick from the child’s arm.
Choice C reason: Using a hot match to remove a tick is ineffective and risks burning the child or driving pathogens deeper. Tweezers ensure safe, complete removal, making this dangerous and incorrect compared to the recommended technique for tick removal in a child in a wooded area.
Choice D reason: Taking the child to a healthcare facility is unnecessary for a routine tick removal, which caregivers can perform with tweezers. This delays action and increases inconvenience, making it incorrect compared to the effective, immediate tweezer method for tick removal in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Increasing protein calories doesn’t address malabsorption causing constipation and diarrhea in cystic fibrosis. Pancreatic enzymes improve nutrient absorption, making this irrelevant and incorrect compared to the need to correct digestive issues due to enzyme deficiency in the child’s dietary management.
Choice B reason: Saturated fat doesn’t resolve malabsorption-related constipation and diarrhea in cystic fibrosis and may worsen symptoms. Pancreatic enzymes correct enzyme deficiency, making this inappropriate and incorrect compared to the dietary adjustment needed to manage the child’s gastrointestinal symptoms effectively.
Choice C reason: Iodized salt supports hydration in cystic fibrosis but doesn’t address malabsorption causing diarrhea and constipation. Pancreatic enzymes target digestive issues, making this incorrect, as it fails to correct the underlying enzyme deficiency responsible for the child’s gastrointestinal symptoms.
Choice D reason: Pancreatic enzymes improve fat and nutrient absorption in cystic fibrosis, reducing constipation and diarrhea due to malabsorption. This aligns with pediatric cystic fibrosis management, making it the correct substance to increase in the child’s diet to address the reported gastrointestinal symptoms.
Correct Answer is C
Explanation
Choice A reason: Placing the probe on the chest is not a standard pulse oximetry site and yields inaccurate readings. Explaining the device’s purpose addresses the caregiver’s concern, making this ineffective and incorrect compared to educating about the sensor’s role in monitoring the infant’s oxygen levels.
Choice B reason: Pulse oximetry measures oxygen saturation, not respiratory retractions, which are observed visually. Explaining its true purpose reassures the caregiver, making this inaccurate and incorrect compared to clarifying the device’s function to address concerns about the sensor’s use on the infant.
Choice C reason: Explaining that pulse oximetry measures oxygen saturation clarifies its importance, reassuring the caregiver about its necessity and addressing tightness concerns. This aligns with pediatric nursing education principles, making it the prioritized response to ensure compliance with monitoring the infant’s respiratory status.
Choice D reason: Checking the probe site every 8 hours prevents skin issues but doesn’t address the caregiver’s concern about tightness. Explaining the device’s purpose promotes understanding, making this secondary and incorrect compared to educating to maintain the sensor’s use on the infant.
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