The caregiver of an infant keeps removing the pulse oximetry sensor claiming it’s too tight on the baby. Which response should the nurse prioritize in addressing this situation?

Place the probe of the oximeter on the child’s chest and secure it with tape.

Explain that pulse oximetry is done to detect respiratory retractions.

Explain that pulse oximetry measures the oxygen saturation of arterial hemoglobin.

Ensure the oximeter probe site is checked every 8 hours for possible reactions.

Answer and Explanation

The Correct Answer is C

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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Correct Answer is A

Explanation

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.

A. Airborne. B. Vehicle. C. Vector. D. Contact.

Correct Answer is C

Explanation

Choice A reason: Airborne transmission involves pathogens spread through respiratory droplets, not insects. Insect-borne pathogens are vector transmission, making this incorrect, as it misidentifies the mechanism for diseases like malaria spread by mosquitoes in the nurse’s presentation on pathogen spread.

Choice B reason: Vehicle transmission involves contaminated objects or food, not insects. Pathogens spread by insects are via vector transmission, making this incorrect, as it does not describe the role of insects in pathogen spread in the nurse’s presentation on transmission mechanisms.

Choice C reason: Vector transmission occurs when insects like mosquitoes carry pathogens between hosts, a key mechanism for diseases like dengue. This aligns with infectious disease principles, making it the correct term for the nurse to illustrate in the presentation on how pathogens are spread.

Choice D reason: Contact transmission involves direct touch or surfaces, not insects. Vector transmission correctly describes insect-borne spread, making this incorrect, as it does not apply to the role of insects in pathogen transmission in the nurse’s educational presentation.

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The caregiver of an infant keeps removing the pulse oximetry sensor claiming it’s too tight on the baby. Which response should the nurse prioritize in addressing this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A young child has been admitted with a diagnosis of enterobiasis (pinworm infection). This child will most likely have a history of:

Correct Answer is A

Explanation

The nurse is preparing a presentation depicting the various ways pathogens are spread around. The nurse will illustrate that pathogens passed around via insects is referred to as which mechanism?

Correct Answer is C

Explanation

The school nurse is preparing to conduct routine health screenings of the elementary school students. Which screening will the nurse prioritize for students ages 6 to 8?

During a well-child checkup, a child shares being embarrassed when she is seen with her 7-year-old sister who wears an arm prosthesis after the limb was amputated. Which statement by the nurse most appropriately addresses the child’s concerns?

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The pediatric nurse recognizes that what statement is true regarding medications administered via the intravenous route?

A toddler is hospitalized and the nurse wants to make the transition from home to hospital as easy as possible for him. Which action by the nurse would be most beneficial to assist the toddler in adapting to the hospital?

The parents and their child with a chronic illness have been seen by the nurse in the pediatrician’s office since birth. Which situation is appropriate for instruction by the nurse?