The nurse is assessing a teenage client and notes his lower front teeth are slightly crossed over. The nurse points out to his caregiver that he should see an orthodontist about this to prevent which potential situation?

Leaving even slightly crooked teeth will lead to more cavities later in life.

Uncorrected malocclusions lead to infection and ultimately tooth loss.

This could have a lasting effect on his future to include everything from dating to hiring.

Even slight malocclusions make chewing and jaw function less efficient.

Answer and Explanation

The Correct Answer is D

Choice A reason: Slightly crooked teeth may complicate oral hygiene but are not a primary cause of cavities, which depend more on brushing and diet. Malocclusions affect chewing efficiency, making this less accurate and incorrect compared to the functional impact of misaligned teeth noted during the assessment.

Choice B reason: Malocclusions do not directly cause infections or tooth loss unless severe and untreated. Slight cross-over primarily impacts chewing and jaw function, not infection risk, making this exaggerated and incorrect for the primary reason to seek orthodontic consultation for the teenager’s teeth.

Choice C reason: Social impacts like dating or hiring are speculative and not the primary clinical concern for slight malocclusions. Chewing and jaw efficiency are direct functional issues, making this psychosocial focus less relevant and incorrect for the orthodontic referral rationale in this clinical scenario.

Choice D reason: Slight malocclusions, like crossed front teeth, can impair chewing and jaw function, leading to inefficient mastication or strain. This functional concern justifies orthodontic evaluation, aligning with dental health principles, making it the correct reason to recommend seeing an orthodontist for the teenager.

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Correct Answer is B

Explanation

Choice A reason: 300-800 ml/day is too low for a child with sickle cell disease, risking dehydration and sickling crises. 1500-2000 ml maintains hydration, making this insufficient and incorrect compared to the adequate fluid intake needed to prevent complications in the child’s home care.

Choice B reason: 1500-2000 ml/day ensures adequate hydration for a child with sickle cell disease, reducing blood viscosity and sickling risk. This aligns with pediatric hematology guidelines for preventing crises, making it the correct fluid intake recommendation for the caregiver to support the child’s health at home.

Choice C reason: 2500-3200 ml/day exceeds typical needs for a child, risking fluid overload without added sickle cell benefit. 1500-2000 ml is optimal, making this excessive and incorrect compared to the recommended fluid range for managing sickle cell disease effectively at home.

Choice D reason: 1000-1200 ml/day is below the optimal range for a child with sickle cell disease, increasing dehydration and crisis risk. 1500-2000 ml better supports hydration, making this inadequate and incorrect compared to the fluid intake needed to prevent sickle cell complications.

A. The child is trying to relieve the itching and open the air passages. B. The child is attempting to draw attention to his/her nose. C. The child has a nasal discharge and is trying to keep his nose from running. D. The child is concerned that he is going to sneeze and is trying to stop the sneeze.

Correct Answer is A

Explanation

Choice A reason: Rubbing the nose upward and backward, known as the "allergic salute," is a common response in allergic rhinitis to relieve nasal itching and congestion. This action temporarily opens air passages and alleviates discomfort, aligning with pediatric allergy evidence, making it the correct explanation for the child’s behavior observed in clinical settings.

Choice B reason: Drawing attention to the nose is not a typical response in allergic rhinitis. The "allergic salute" is a reflexive action to relieve itching and congestion, not a deliberate attempt to gain attention. This choice misinterprets the physiological basis of the behavior, making it incorrect for the child’s action in the context of allergic rhinitis symptoms.

Choice C reason: Nasal discharge may occur in allergic rhinitis, but rubbing upward and backward aims to relieve itching and open airways, not prevent discharge. This action is not primarily about controlling runny nose, making this choice less accurate compared to addressing the itching and congestion relief central to the child’s behavior.

Choice D reason: Preventing a sneeze is not the purpose of the "allergic salute." Rubbing the nose upward and backward relieves itching and congestion, common in allergic rhinitis. Sneezing is a separate reflex, and this action does not address it, making this incorrect for the child’s observed behavior in the context of allergy symptoms.

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The nurse is assessing a teenage client and notes his lower front teeth are slightly crossed over. The nurse points out to his caregiver that he should see an orthodontist about this to prevent which potential situation?

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Naxlex Comprehensive Predictor Exams

The caregiver of a child with sickle cell disease asks the nurse how much fluid her child should have each day after the child goes home. In response to the caregiver’s question, the nurse would explain that for the child with sickle cell disease, it is best that the child have:

Correct Answer is B

Explanation

A child diagnosed with allergic rhinitis is rubbing his nose upward and backward. Which response is the child exhibiting?

Correct Answer is A

Explanation

The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with Kwashiorkor. The nurses in the group make the following statements. Which statement is most accurate related to the diagnosis of Kwashiorkor?

The nurse is preparing a safety presentation for a health fair for families. Which instruction should the nurse prioritize when illustrating car safety and the family?

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 of a 16-year-old male are worried about recent changes in his behavior, ignoring his schoolwork and sports, and spending almost all of his free time interacting with his girlfriend. Which suggestion should the nurse point out would best address this situation?

The nurse is caring for a group of children on the pediatric unit. The nurse should collect further data and explore the possibility of child abuse (child mistreatment) in which situation?

The nurse is collecting data from a caregiver, and the caregiver states that the child has had a “strawberry-colored tongue.” The nurse recognizes this as a manifestation of which disorder?

The pediatric nurse is discussing the daily activities of a 4-year-old with the caregiver to assess growth and development status. The nurse would document that the child has reached the initiative stage of development if the caregiver indicates the child participates in which activity?

The daughter of a divorced couple is hospitalized for injuries received in an automobile accident. The custodial father is at work when the mother arrives extremely agitated and demanding to see her daughter immediately. Which action will be most appropriate for the nurse to take at this time?