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"
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Foreign body aspiration is characterized by sudden onset of coughing, choking, and wheezing, not crackles and rales.
B. Systemic congestion refers to peripheral edema and does not usually present with crackles in the lungs.
C. Pneumonia would present with localized crackles or rales over specific lung areas and often includes fever and cough, which are not mentioned here.
D. Pulmonary congestion is common in children with VSD, particularly when the left side of the heart cannot effectively pump blood, leading to fluid accumulation in the lungs. Crackles and rales indicate this type of fluid buildup.
Correct Answer is C
Explanation
A. Aortic stenosis (AS) typically causes a difference in blood flow across the aortic valve but does not usually require assessment of upper and lower extremity blood pressures.
B. Transposition of the Great Vessels (Arteries) results in cyanosis and abnormal circulatory flow but does not require upper and lower extremity blood pressure monitoring.
C. Coarctation of the Aorta (COA) is characterized by narrowing of the aorta, often resulting in higher blood pressure in the upper extremities compared to the lower extremities. Measuring both helps identify this condition.
D. Tetralogy of Fallot (TOF) involves right ventricular outflow obstruction, VSD, overriding aorta, and right ventricular hypertrophy, but upper and lower extremity blood pressures are not typically used for diagnosis.
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