Nursedive logo NurseDive
NurseDive

Nursing practice questions with comprehensive rationales

Start Free

NurseDive Free Nursing Practice Question

A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the following statements should the nurse include in the teaching?

A. "Apply scented baby powder to absorb residual moisture."

"Apply scented baby powder to absorb residual moisture." Scented products can irritate the vaginal area and worsen symptoms of vulvovaginitis. Instead, keeping the area dry and clean is recommended.

B. "Apply a warm, moist compress three times per day."

"Apply a warm, moist compress three times per day." Warm compresses help soothe irritation and reduce inflammation associated with vulvovaginitis.

C. "Wear a feminine deodorant pad for vaginal drainage."

"Wear a feminine deodorant pad for vaginal drainage." Deodorant pads contain chemicals that can further irritate the area. Instead, using unscented pads or breathable cotton underwear is recommended.

D. "Wear nylon underwear at night."

"Wear nylon underwear at night." Nylon traps moisture and heat, which creates an environment for bacterial and fungal growth. Instead, wearing loose-fitting cotton underwear or sleeping without underwear is recommended to promote airflow and prevent irritation.

This question is an excerpt from Nurse Dive's nursing test bank - Ati rn paediatrics nursing proctored exam 2023. Take the full exam now


Full Explanation

A. "Apply scented baby powder to absorb residual moisture." Scented products can irritate the vaginal area and worsen symptoms of vulvovaginitis. Instead, keeping the area dry and clean is recommended.

B. "Apply a warm, moist compress three times per day." Warm compresses help soothe irritation and reduce inflammation associated with vulvovaginitis.

C. "Wear a feminine deodorant pad for vaginal drainage." Deodorant pads contain chemicals that can further irritate the area. Instead, using unscented pads or breathable cotton underwear is recommended.

D. "Wear nylon underwear at night." Nylon traps moisture and heat, which creates an environment for bacterial and fungal growth. Instead, wearing loose-fitting cotton underwear or sleeping without underwear is recommended to promote airflow and prevent irritation.


Similar Questions

QUESTION

A nurse is caring for an infant who has otitis media and is to receive amoxicillin 30 mg/kg/day in divided doses every 12 hr. The child weighs 13 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Full Explanation

Determine the infant's weight in kg:13 lb ÷ 2.2 = 5.91 kg

Calculate the total daily dose:30 mg/kg/day × 5.91 kg = 177.3 mg/day

Divide the total daily dose by 2 (since the medication is given every 12 hours):177.3 mg ÷ 2 = 88.65 mg per dose

Round to the nearest whole number:89 mg per dose

QUESTION

A nurse is teaching a parent of a toddler how to prepare for the arrival of their newborn sibling. Which of the following statements by the parent indicates to the nurse an understanding of the teaching?

A. "I will start sending my toddler to daycare once the baby is born."

"I will start sending my toddler to daycare once the baby is born." Introducing major changes, like starting daycare, immediately after a new sibling's arrival may cause stress and feelings of rejection. If a change is necessary, it should be introduced well before the baby arrives to allow the toddler time to adjust.

B. "I will anticipate that my toddler might demand to have their pacifier again once their sibling is born."

"I will anticipate that my toddler might demand to have their pacifier again once their sibling is born." Regression is a common response in toddlers when a new sibling arrives. They may return to earlier behaviors such as wanting a pacifier, asking to be bottle-fed, or having potty-training setbacks. Parents should offer reassurance and patience rather than discouraging these behaviors.

C. "I will tell my toddler now about the date their sibling will arrive."

"I will tell my toddler now about the date their sibling will arrive." Toddlers have a limited understanding of time, so telling them too early can lead to confusion and anxiety. Instead, parents should introduce the idea gradually and use tangible events (e.g., "When the leaves start falling, the baby will be here").

D. "I will tell my toddler the baby will be their new playmate."

"I will tell my toddler the baby will be their new playmate." A newborn will not be an immediate playmate, and telling a toddler this may lead to disappointment or frustration. Instead, parents should explain that newborns need a lot of care but will grow and play later.

Full Explanation

A. "I will start sending my toddler to daycare once the baby is born." Introducing major changes, like starting daycare, immediately after a new sibling's arrival may cause stress and feelings of rejection. If a change is necessary, it should be introduced well before the baby arrives to allow the toddler time to adjust.

B. "I will anticipate that my toddler might demand to have their pacifier again once their sibling is born." Regression is a common response in toddlers when a new sibling arrives. They may return to earlier behaviors such as wanting a pacifier, asking to be bottle-fed, or having potty-training setbacks. Parents should offer reassurance and patience rather than discouraging these behaviors.

C. "I will tell my toddler now about the date their sibling will arrive." Toddlers have a limited understanding of time, so telling them too early can lead to confusion and anxiety. Instead, parents should introduce the idea gradually and use tangible events (e.g., "When the leaves start falling, the baby will be here").

D. "I will tell my toddler the baby will be their new playmate." A newborn will not be an immediate playmate, and telling a toddler this may lead to disappointment or frustration. Instead, parents should explain that newborns need a lot of care but will grow and play later.

QUESTION

A nurse is providing teaching about home care to a parent of a 3-year-old child who has a fever. Which of the following instructions should the nurse include in the teaching?

A. Apply a light blanket if the child begins to shiver.

"Apply a light blanket if the child begins to shiver." Shivering can increase body temperature, so a light blanket can provide comfort while preventing excessive heat retention. Over-bundling should be avoided.

B. Wake the child every 4 hr during the night to drink 118.3 mL (4 oz) of apple juice.

"Wake the child every 4 hr during the night to drink 118.3 mL (4 oz) of apple juice." Encouraging fluid intake is important, but waking a sleeping child is unnecessary unless there are concerns about dehydration. Instead, fluids should be offered frequently while the child is awake.

C. Take the child's temperature every 10 min after administering acetaminophen.

"Take the child's temperature every 10 min after administering acetaminophen." Checking the temperature this frequently is not necessary and could cause unnecessary stress for the child. Acetaminophen typically takes 30–60 minutes to take effect, so temperature checks should be spaced appropriately.

D. Place ice packs on the child's armpits and groin.

"Place ice packs on the child's armpits and groin." Using ice packs can cause shivering, which increases body temperature. Instead, cooling measures like a lukewarm sponge bath or removing excess clothing are preferred.

Full Explanation

A. "Apply a light blanket if the child begins to shiver." Shivering can increase body temperature, so a light blanket can provide comfort while preventing excessive heat retention. Over-bundling should be avoided.

B. "Wake the child every 4 hr during the night to drink 118.3 mL (4 oz) of apple juice." Encouraging fluid intake is important, but waking a sleeping child is unnecessary unless there are concerns about dehydration. Instead, fluids should be offered frequently while the child is awake.

C. "Take the child's temperature every 10 min after administering acetaminophen." Checking the temperature this frequently is not necessary and could cause unnecessary stress for the child. Acetaminophen typically takes 30–60 minutes to take effect, so temperature checks should be spaced appropriately.

D. "Place ice packs on the child's armpits and groin."  Using ice packs can cause shivering, which increases body temperature. Instead, cooling measures like a lukewarm sponge bath or removing excess clothing are preferred.