The parent of a 6-year-old child arrives at a clinic because the child has been experiencing itchy, red, and swollen eyes. The nurse notes a discharge from the eyes and sends a culture to the laboratory for analysis. Chlamydial conjunctivitis is diagnosed. On the basis of this diagnosis. the nurse determines that which requires further investigation?

Possible sexual abuse

Possible trauma

Presence of an allergy

Presence of a respiratory infection

Answer and Explanation

The Correct Answer is A

A. Possible sexual abuse.
Correct Answer: Chlamydial conjunctivitis in a child can raise concerns about possible sexual abuse. Chlamydia trachomatis, the bacterium responsible for chlamydial conjunctivitis, is commonly transmitted through contact with infected genital secretions. Therefore, the presence of chlamydial conjunctivitis in a child may warrant further investigation into the possibility of sexual abuse.
B. Possible trauma:
Incorrect: While trauma can cause eye-related symptoms, chlamydial conjunctivitis is specifically associated with an infection caused by Chlamydia trachomatis.
C. Presence of an allergy:
Incorrect: Allergic conjunctivitis may cause itchy, red, and swollen eyes, but chlamydial conjunctivitis is caused by a bacterial infection and is not related to allergies.
D. Presence of a respiratory infection:
Incorrect: Chlamydial conjunctivitis is not typically associated with respiratory infections. It is primarily caused by Chlamydia trachomatis and is more commonly linked to genital tract infections.

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Free Nursing Study Resources

Correct Answer is ["A","C","F"]

Explanation

A. Elevate the extremity on pillows for the first 24 to 48 hours after casting to prevent swelling.
Explanation: Elevating the extremity can help reduce swelling, especially in the initial period after casting.
B. Place a heating pad on the lower end of the cast and over the fingers if the fingers feel cold.
Explanation: Applying heat can increase the risk of burns and is not recommended. If the fingers feel cold, it may indicate a circulation issue, and the healthcare provider should be contacted.
C. Keep small toys and sharp objects away from the cast.
Explanation: Keeping small toys and sharp objects away from the cast is important to prevent injury or damage to the cast.
D. Use a padded ruler or another padded object to scratch the skin under the cast if it itches.
Explanation: Inserting objects under the cast can lead to complications, including skin damage or infection. It is advisable not to insert anything into the cast.
E. Use the fingertips to lift the cast while it is drying.
Explanation: Lifting or manipulating the cast during the drying process can compromise its integrity and should be avoided. The cast needs to dry completely to provide proper support and immobilization.
F. Contact the primary health care provider (PHCP) if the child complains of numbness or tingling in the extremity.
Explanation: Numbness or tingling can indicate a circulation problem, and it is important to contact the healthcare provider for further assessment.

A. Varicella (VARI) B. Diphtheria, tetanus and acellular pertussis (DTaP) C. Human papillomavirus (HPV4) D. Measles, mumps rubella (MMR) E. Rotavirus (RV)

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

Explanation

A. Varicella (VARI): Correct
Explanation: The varicella vaccine protects against chickenpox. The CDC recommends that children receive the first dose of the varicella vaccine at age 1.
B. Diphtheria, tetanus, and acellular pertussis (DTaP): Correct
Explanation: The DTaP vaccine protects against diphtheria, tetanus, and pertussis. The first dose is typically given at 2 months, with subsequent doses given at 4 months, 6 months, 15-18 months, and 4-6 years of age.
C. Human papillomavirus (HPV4): Incorrect
Explanation: The HPV vaccine is not typically administered at age 1. It is usually recommended for adolescents, starting around age 11 or 12. The HPV vaccine is given in a series of doses.
D. Measles, mumps, rubella (MMR): Correct
Explanation: The MMR vaccine protects against measles, mumps, and rubella. The first dose is usually given at age 1, with a second dose recommended at 4-6 years of age.
E. Rotavirus (RV): Incorrect
The rotavirus vaccine is usually given in a series of doses starting at 2 months of age, with the last dose administered by 8 months. It is not a vaccine that is typically given at age 1.

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Naxlex Comprehensive Predictor Exams

The nurse prepares a list of home care instructions for the parents of a child who has a plaster cast applied to the left forearm. Which instructions would be included on the list? Select all that apply.

Correct Answer is ["A","C","F"]

Explanation

A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply.)

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

Explanation

A nurse in a clinic is assessing a 7-month-old infant. Which of the following indicates a need for further evaluation?

A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?

A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?

The nurse is caring for a newborn with a suspected diagnosis of imperforate anus. The nurse monitors the infant, knowing that which is a clinical manifestation associated with this disorder?

A nurse teaching the parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching? (Select all that apply.)

The nurse provides home care instructions to the parents of a child with celiac disease. The nurse would teach the parents to include which food item in the child's diet?

The nurse is collecting data on a 2 month-old-child with left-sided congestive heart failure. Which clinical manifestation would support this diagnosis of left-sided congestive heart failure?