The nurse is providing home care instructions to the parent of a 9-year-old child diagnosed with bacterial conjunctivitis. Topical antimicrobial therapy is prescribed for the child. Which statement by the parent indicates that the teaching has been effective?

"My child needs to stay home from school for at least 2 weeks to complete the entire prescription of eye drops"

"My child cannot return to school until free from discharge"

"My child will need to stay home from school until my child has received the eye medication for at least 24 to 48 hours"

"My child can return to school immediately because my child is not contagious"

Answer and Explanation

The Correct Answer is C

A. Staying home for 2 weeks is excessive; typically, 24 to 48 hours of antimicrobial therapy is enough before the child is no longer contagious.

B. While discharge is a sign of infection, the child can often return to school after receiving treatment for 24 to 48 hours.

C. This is correct. Bacterial conjunctivitis is contagious, and children should stay home until they've been on antibiotics for 24 to 48 hours to reduce transmission.

D. This is incorrect; the child should stay home for 24 to 48 hours after starting treatment, as they can still be contagious during that time.

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Correct Answer is A

Explanation

A. Kawasaki disease can lead to coronary artery aneurysms, which can increase the risk of myocardial infarction (MI) due to impaired blood flow.

B. Pulmonary congestion is not typically a complication of Kawasaki disease, as it primarily affects the cardiovascular system.

C. Roth spots are retinal findings associated with endocarditis, not Kawasaki disease.

D. While arthralgia (joint pain) is a symptom, it is not the most concerning complication in Kawasaki disease. The priority concern is cardiovascular complications.

A. Extreme fatigue B. An airway obstruction C. Presence of pain D. Presence of dehydration

Correct Answer is B

Explanation

A. Extreme fatigue is not indicated by this positioning.

B. The child’s forward-leaning position with neck extension is a classic sign of epiglottitis, where the child is attempting to open the airway and facilitate breathing in response to obstruction.

C. Pain may be present, but the positioning is primarily related to an attempt to alleviate airway obstruction.

D. Dehydration would not typically cause this specific positioning.

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The nurse is providing home care instructions to the parent of a 9-year-old child diagnosed with bacterial conjunctivitis. Topical antimicrobial therapy is prescribed for the child. Which statement by the parent indicates that the teaching has been effective?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a child diagnosed with Kawasaki disease. Keeping the pathophysiology in mind, the nurse carefully monitors the child for which complication?

Correct Answer is A

Explanation

The nurse employed in an emergency department is monitoring a child diagnosed with epiglottitis. The nurse notes that the child is leaning forward with the neck extended. How would the nurse interpret this finding? -

Correct Answer is B

Explanation

The nurse is assessing a child with epiglottitis. Which of the following would be an expected finding?

After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow?

In which congenital heart defect would the nurse need to take upper and lower extremity blood pressures?

Tetralogy of Fallot (TOF) involves which defects? Select all that apply.

The nurse is assessing a client diagnosed with ventricular septal defect (VSD), the nurse is aware that many infants with these conditions also receive a diagnosis of which of the following?

The primary health care provider prescribes patching for a child with amblyopia of the right eye, and the nurse instructs the parent regarding this procedure. What would the nurse include in the instructions?