The nurse is taking care of a child with scables. Which primary clinical manifestation should the nurse expect to assess with this disease?

Redness

Pruritus

Edema

Maceration

Answer and Explanation

The Correct Answer is B

A.   Redness can occur with skin irritation or infection, but it is not the defining symptom of scabies. Pruritus (itching) is more characteristic.
B.   The hallmark symptom of scabies is intense itching (pruritus), particularly at night, due to an allergic reaction to the mite infestation in the skin.
C.   Edema is not a primary symptom of scabies. It may occur as a result of a secondary infection, but it is not typically associated with the infestation itself.
D.   Maceration refers to the softening or breakdown of the skin from excessive moisture, which could happen if the skin is scratched excessively. However, maceration is not a hallmark symptom of scabies.

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Correct Answer is B

Explanation

A complete blood count (CBC) may be ordered later if further infection or sepsis is suspected, but it is not the first diagnostic test.
B. Urinalysis is the most appropriate initial test to diagnose a urinary tract infection (UTI), which is common in children with symptoms such as dysuria and irritability.
C. An abdominal ultrasound is more appropriate if there are concerns about abdominal pathology, which is not suggested by the symptoms.
D. A bladder scan is not the first diagnostic step and would be used to assess post-void residual urine if necessary.

A. Administer intravenous antibiotics B. Continue to monitor the child for complications C. Prepare for a balloon angioplasty D. Notify the cardiologist of the findings

Correct Answer is D

Explanation

A. Antibiotics are not indicated for coarctation of the aorta.
B. Monitoring is important, but the immediate action is to notify the cardiologist for further intervention.
C. Balloon angioplasty is a potential treatment for coarctation of the aorta but would be decided by the cardiologist after assessment.
D. Coarctation of the aorta causes a narrowing of the aorta, leading to differences in blood pressure and pulse strength between the upper and lower extremities. The nurse should notify the cardiologist for further evaluation and management.

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The nurse is taking care of a child with scables. Which primary clinical manifestation should the nurse expect to assess with this disease?

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Naxlex Comprehensive Predictor Exams

A 2-year-old child presents to the hospital with a fever of 38.4 Celsius and the parents state the child has had dysuria and Irritability, with a loss of appetite. What diagnostic test should the nurse expect to be ordered first based on the symptoms?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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