The nurse is providing education on tick removal. Which action would be incorrect?

Cleanse the wound with soap and water.

Grasp the tick by the body to remove.

Leave the tick in place and seek emergency medical treatment.

Avoid touching the tick with bare hands.

Answer and Explanation

The Correct Answer is B

The correct answer is choice b. Grasp the tick by the body to remove.

Choice A rationale:

Cleansing the wound with soap and water is a correct action. It helps to prevent infection after the tick has been removed.

Choice B rationale:

Grasping the tick by the body is incorrect. The proper method is to use fine-tipped tweezers to grasp the tick as close to the skin’s surface as possible and pull upward with steady, even pressure. Grasping the tick by the body can cause the mouth-parts to break off and remain in the skin, increasing the risk of infection.

Choice C rationale:

Leaving the tick in place and seeking emergency medical treatment is not recommended. The tick should be removed as soon as possible to reduce the risk of disease transmission.

Choice D rationale:

Avoiding touching the tick with bare hands is correct. Using gloves or tissue to handle the tick helps prevent the transmission of pathogens.

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

Explanation

The correct answers are choices A, B, and D.

Choice A rationale:

Applying petroleum jelly to the suture line is a necessary intervention in an infant's postoperative plan of care following cleft lip repair. Petroleum jelly helps to keep the suture line moist and prevents it from sticking to clothing or linens. This promotes proper healing and reduces the risk of trauma to the surgical site.

Choice B rationale:

Using elbow restraints is important to prevent the infant from accidentally touching or scratching the surgical site. Infants are not always able to control their movements effectively, and they may inadvertently disrupt the healing process by touching the suture line. Elbow restraints help maintain the integrity of the surgical site.

Choice C rationale:

While positioning is important in the care of a postoperative infant, supine and side-lying positions are not specific interventions related to cleft lip repair. These positions may be used for general comfort and to prevent complications such as aspiration, but they are not directly related to the surgical site.

Choice D rationale:

Mouth irrigations are not typically recommended in the postoperative care of an infant following cleft lip repair. The surgical site is in the area of the lip, not the mouth, so mouth irrigations are not directly relevant to this procedure.

Choice E rationale:

Postural drainage is not a necessary intervention for an infant following cleft lip repair. Postural drainage is a technique used to help clear mucus and secretions from the lungs in patients with respiratory conditions. It is not applicable to the care of an infant recovering from cleft lip surgery.

A. Hypoparathyroidism. B. Hyperthyroidism. C. Hyperparathyroidism. D. Hypothyroidism.

Correct Answer is B

Explanation

Choice A rationale:

Hypoparathyroidism is not associated with exophthalmos. Hypoparathyroidism is a condition where the parathyroid glands produce insufficient parathyroid hormone, leading to low calcium levels in the blood. This condition doesn't directly affect the thyroid gland or cause exophthalmos.

Choice B rationale:

Exophthalmos, also known as protruding or bulging eyes, is a classic symptom of hyperthyroidism. Hyperthyroidism is a condition where the thyroid gland produces excessive amounts of thyroid hormones. These elevated hormone levels can lead to a variety of symptoms, including increased metabolism, weight loss, nervousness, and protruding eyes due to inflammation of the eye muscles and tissues behind the eye.

Choice C rationale:

Hyperparathyroidism involves the overactivity of the parathyroid glands, leading to excessive production of parathyroid hormone (PTH) and elevated calcium levels in the blood. While elevated calcium levels can have various effects on the body, exophthalmos is not a typical manifestation of hyperparathyroidism. The condition is more commonly associated with bone and kidney issues.

Choice D rationale:

Hypothyroidism, the underproduction of thyroid hormones by the thyroid gland, is not linked to exophthalmos. Instead, hypothyroidism is known for causing symptoms such as fatigue, weight gain, cold intolerance, and slow heart rate. Exophthalmos is a characteristic sign of hyperthyroidism, not hypothyroidism.

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The nurse is providing education on tick removal. Which action would be incorrect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse, caring for an infant whose cleft lip was repaired, should include which interventions in the infant's postoperative plan of care? (Select all that apply.).

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

Explanation

Exophthalmos may occur in children with what diagnosis?

Correct Answer is B

Explanation

A goiter is an enlargement or hypertrophy of which gland?

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What condition is characterized by a chronic inflammatory process that may involve any part of the gastrointestinal (GI) tract from mouth to anus?

Therapeutic management of most children with Hirschsprung's disease is primarily

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