When performing the tape test to check for pinworms, when should the caregiver remove the tape from the child's anus?

Just after the child falls asleep

Before the child toilets or bathes

After the child awakes

Before the child falls asleep

Answer and Explanation

The Correct Answer is B

A. Just after the child falls asleep is not the correct timing. The tape test should be performed in the morning before the child toilets or bathes, not immediately after they fall asleep.

B. Before the child toilets or bathes is correct. The tape test is most effective when the tape is applied to the perianal area before the child uses the toilet or bathes in the morning, as pinworm eggs are typically laid at night and can be collected before washing.

C. After the child awakes is incorrect. The tape should be applied before the child uses the toilet or bathes in the morning to ensure the best chance of collecting pinworm eggs.

D. Before the child falls asleep is incorrect. The tape should be applied in the morning, not at night, to collect pinworm eggs effectively.

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Correct Answer is C

Explanation

A. Keep the infant supine is incorrect. After cleft palate repair, it is generally recommended to keep the infant in a position that minimizes pressure on the surgical site. Keeping the infant in a supine position may cause pressure on the repaired area, so side or semi-prone positioning is preferred.

B. Suction the mouth with an oral suction tube is incorrect. Suctioning should be avoided unless absolutely necessary because it can irritate the surgical site and cause trauma to the newly repaired palate.

C. Apply elbow restraints and release them periodically is correct. Elbow restraints are commonly used after cleft palate surgery to prevent the infant from touching or putting pressure on the surgical site. These restraints should be periodically released to allow for movement and prevent skin breakdown.

D. Feed the infant with a spoon for 48 hours is incorrect. After cleft palate repair, feeding should be done carefully. Special feeding bottles or cups are typically used to avoid trauma to the surgical site. Feeding with a spoon may cause pressure on the repair and should be avoided.

A. Glasgow Coma Scale (GCS) assessment B. Cerebrospinal fluid (CSF) analysis C. RBC count D. Magnetic resonance imaging (MRI)

Correct Answer is B

Explanation

A. Glasgow Coma Scale (GCS) assessment is used to assess the level of consciousness in patients with head trauma or neurological conditions, but it is not the diagnostic test for suspected meningitis.

B. Cerebrospinal fluid (CSF) analysis is the definitive test for diagnosing meningitis. A lumbar puncture is performed to obtain a sample of CSF, which is then analyzed for signs of infection, such as increased white blood cells, proteins, and low glucose levels.

C. RBC count is useful for assessing anemia and other hematological conditions, but it is not specific to diagnosing meningitis.

D. Magnetic resonance imaging (MRI) can be used to assess brain structure, but CSF analysis remains the primary diagnostic tool for confirming meningitis based on the clinical signs of fever, headache, stiff neck, and rash.

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When performing the tape test to check for pinworms, when should the caregiver remove the tape from the child's anus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 10-month-old infant who is 8 hours postoperative following cleft palate repair. Which of the following interventions should the nurse include in the infant's plan of care?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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