The nurse is planning care for a child who is suffering from persistent itching due to scabies. Which measure should the nurse implement to minimize this child's risk for complications?

Monitor for desquamation and normal flora overgrowth.

Wash skin between application of topical antiparasitic doses.

Keep the child's nails short and encourage use of hand mittens.

Shave the body hair before applying the scabicide lotion.

Answer and Explanation

The Correct Answer is C

A. Monitor for desquamation and normal flora overgrowth: While monitoring skin integrity is important, this does not directly prevent the primary complication of scabies, which is secondary bacterial infection from scratching.

B. Wash skin between application of topical antiparasitic doses: Washing between doses can remove the medication prematurely, reducing its effectiveness. The lotion should remain on for the prescribed time before being washed off.

C. Keep the child's nails short and encourage use of hand mittens: Trimming nails and using mittens reduce scratching and skin breakdown, which lowers the risk of bacterial superinfection, the main complication of scabies in children.

D. Shave the body hair before applying the scabicide lotion: Shaving is not recommended, as scabicide is effective when applied to the skin surface. Shaving may cause irritation and increase discomfort without improving treatment outcomes.

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Correct Answer is ["A","B","D","E"]

Explanation

A. Monitor ETT markings between 22 and 26 cm at teeth line: Proper depth of the ETT is essential to ensure the tube is not inserted too far into one bronchus or too shallow, which could compromise ventilation. Observing the markings provides an initial guide to placement.

B. Obtain a portable chest x-ray to verify ETT location: A chest x-ray is the gold standard for confirming ETT placement in the trachea and ensuring it is positioned above the carina. This helps prevent complications such as right mainstem bronchus intubation.

C. Check for capillary refill of 3 seconds or less: Capillary refill assesses peripheral perfusion, not ETT placement or airway patency. It is not a reliable indicator for correct intubation.

D. Assess for symmetrical chest movement: Symmetrical chest rise indicates both lungs are being ventilated, suggesting proper ETT positioning and preventing unilateral lung ventilation.

E. Auscultate for presence of bilateral breath sounds: Listening for breath sounds in both lungs confirms that the tube is in the trachea rather than a bronchus. Absence of unilateral breath sounds may indicate malposition.

A. Check the client's arm for a "Do Not Resuscitate" (DNR) bracelet. B. Seek clarification of the type of advance directive the client has. C. Explain that living wills can not be followed by emergency personnel. D. Schedule a client and family conference to review the plan of care.

Correct Answer is B

Explanation

A. Check the client's arm for a "Do Not Resuscitate" (DNR) bracelet: While verifying a DNR order is important, not all advance directives are represented by a bracelet. This action alone does not clarify the client’s wishes or the specifics of the living will.

B. Seek clarification of the type of advance directive the client has: Living wills and other advance directives vary in scope and specificity. Confirming the type of directive ensures that care aligns with the client’s legally documented wishes and guides future interventions appropriately.

C. Explain that living wills cannot be followed by emergency personnel: Emergency personnel can follow advance directives if they are clearly documented and accessible. Saying they cannot be followed is inaccurate and may create mistrust with the family.

D. Schedule a client and family conference to review the plan of care: A conference may be helpful later for education and care planning, but it does not address the immediate need to clarify the client’s specific directives after an emergency intervention.

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Patient Data

Exhibits

For each assessment finding, click to indicate whether the findings from the client's assessment are generally associated with rotator cuff injury and/or humeral fracture. Each column must have at least one response selected.

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The nurse is planning care for a child who is suffering from persistent itching due to scabies. Which measure should the nurse implement to minimize this child's risk for complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A young adult is brought to the emergency department after taking a handful of drugs. The client is unresponsive, so an endotracheal tube (ETT) is inserted. How should the nurse determine if the ETT is correctly placed? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

Correct Answer is B

Explanation

A client diagnosed with glaucoma receives a new prescription for dorzolamide. Prior to administering the medication, the nurse should review the electronic medical record for which allergy?

Patient Data Exhibits Click to indicate if the listed characteristic is consistent with a fat embolism or blood clot embolism. Each column must have at least one response option selected.

Patient Data Exhibits For each assessment finding, click to indicate whether the findings from the client's assessment are generally associated with rotator cuff injury and/or humeral fracture. Each column must have at least one response selected.

Patient Data Exhibits The nurse is concerned about the client's temperature. Which intervention(s) can the nurse use to address the client's temperature? Select all that apply.

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