Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?
A. Apply bactericidal ointment to lesions.
Impetigo is a highly contagious superficial bacterial skin infection commonly caused by Staphylococcus aureus or Streptococcus pyogenes. Treatment includes topical antibiotic (bactericidal) ointments such as mupirocin, keeping lesions clean and covered, and good hand hygiene to prevent spread. Applying a bactericidal ointment directly treats the bacterial infection and promotes healing.
B. Soak hairbrushes in boiling water for 10 minutes.
Soaking hairbrushes in boiling water for 10 minutes is more appropriate for infestations like lice. Impetigo is spread by direct contact with lesions or contaminated items, but routine washing with soap and water is sufficient. Boiling hairbrushes is unnecessary.
C. Administer acyclovir PO two times per day.
Acyclovir is an antiviral medication used for infections such as herpes simplex or varicella. Impetigo is bacterial, not viral, so antiviral therapy is inappropriate.
D. Seal soft toys in a plastic bag for 14 days.
Sealing soft toys in a plastic bag for 14 days is used for lice management. Impetigo does not require sealing toys for extended periods. Normal laundering of contaminated items is sufficient.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Nursing Care of Children 2019 Proctored Exam. Take the full exam now
Full Explanation
A. Impetigo is a highly contagious superficial bacterial skin infection commonly caused by Staphylococcus aureus or Streptococcus pyogenes. Treatment includes topical antibiotic (bactericidal) ointments such as mupirocin, keeping lesions clean and covered, and good hand hygiene to prevent spread. Applying a bactericidal ointment directly treats the bacterial infection and promotes healing.
B. Soaking hairbrushes in boiling water for 10 minutes is more appropriate for infestations like lice. Impetigo is spread by direct contact with lesions or contaminated items, but routine washing with soap and water is sufficient. Boiling hairbrushes is unnecessary.
C. Acyclovir is an antiviral medication used for infections such as herpes simplex or varicella. Impetigo is bacterial, not viral, so antiviral therapy is inappropriate.
D. Sealing soft toys in a plastic bag for 14 days is used for lice management. Impetigo does not require sealing toys for extended periods. Normal laundering of contaminated items is sufficient.
Similar Questions
A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder.
The nurse should teach the parents to take which of the following actions during a seizure?
A. Minimize movement of the limbs.
Choice A is wrong because Minimize movement of the limbs, is not a recommended action during a seizure as it is important not to hold the person down or try to stop their movements.
B. Insert a tongue blade between the teeth.
Choice B is wrong because Insert a tongue blade between the teeth, is not a recommended action during a seizure as it is important not to put anything in the person’s mouth.
C. Clear the area of hard objects.
During a seizure, it is important to clear the area around the person of anything hard or sharp to prevent injury.
D. Place the child in a prone position.
Choice D is wrong because Place the child in a prone position, is not a recommended action during a seizure as it is important to turn the person gently onto one side to help them breathe.
Full Explanation
During a seizure, it is important to clear the area around the person of anything hard or sharp to prevent injury.
Choice A is wrong because Minimize movement of the limbs, is not a recommended action during a seizure as it is important not to hold the person down or try to stop their movements.
Choice B is wrong because Insert a tongue blade between the teeth, is not a recommended action during a seizure as it is important not to put anything in the person’s mouth.
Choice D is wrong because Place the child in a prone position, is not a recommended action during a seizure as it is important to turn the person gently onto one side to help them breathe.
A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline.
Which of the following findings should the nurse expect?
A. Ataxia.
Ataxia is a neurological sign that refers to a lack of muscle coordination and can cause staggering. Inhalation of gasoline vapors can cause symptoms such as dizziness or lightheadedness, headache, facial flushing, coughing or wheezing, staggering, slurred speech, blurry vision and weakness.
B. Hypothermia.
Choice B is wrong because Hypothermia is not an answer because hypothermia refers to a dangerously low body temperature and is not a symptom of gasoline inhalation 1.
C. Hyperactive reflexes.
Choice C is wrong because Hyperactive reflexes are not an answer because hyperactive reflexes refer to overactive or overresponsive reflexes and are not a symptom of gasoline inhalation 1.
D. Pinpoint pupils.
Choice D is wrong because Pinpoint pupils are not an answer because pinpoint pupils refer to abnormally small pupils and are not a symptom of gasoline inhalation.
Full Explanation
Ataxia is a neurological sign that refers to a lack of muscle coordination and can cause staggering. Inhalation of gasoline vapors can cause symptoms such as dizziness or lightheadedness, headache, facial flushing, coughing or wheezing, staggering, slurred speech, blurry vision and weakness.
Choice B is wrong because Hypothermia is not an answer because hypothermia refers to a dangerously low body temperature and is not a symptom of gasoline inhalation.
Choice C is wrong because Hyperactive reflexes are not an answer because hyperactive reflexes refer to overactive or overresponsive reflexes and are not a symptom of gasoline inhalation.
Choice D is wrong because Pinpoint pupils are not an answer because pinpoint pupils refer to abnormally small pupils and are not a symptom of gasoline inhalation.
A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin.
Which of the following laboratory values should the nurse report to the provider?
A. Creatinine.4 mg/dL.
Gentamicin is an aminoglycoside antibiotic that can cause nephrotoxicity. Nephrotoxicity refers to kidney damage and can be demonstrated by rising serum creatinine levels. A creatinine level of 1.4 mg/dL is higher than the normal range and may indicate impaired kidney function 2.
B. Creatinine 0.3 mg/dL.
Choice B is wrong because Creatinine 0.3 mg/dL is not an answer because it falls within the normal range for creatinine levels.
C. BUN 12 mg/dL.
Choice C is wrong because BUN 12 mg/dL is not an answer because it falls within the normal range for BUN levels.
D. BUN 6 mg/dL.
Choice D is wrong because BUN 6 mg/dL is not an answer because it falls within the normal range for BUN levels.
Full Explanation
Choice A: Gentamicin is an aminoglycoside antibiotic that can cause nephrotoxicity. Nephrotoxicity refers to kidney damage and can be demonstrated by rising serum creatinine levels. A creatinine level of 1.4 mg/dL is higher than the normal range and may indicate impaired kidney function 2.
Choice B is wrong because Creatinine 0.3 mg/dL is not an answer because it falls within the normal range for creatinine levels.
Choice C is wrong because BUN 12 mg/dL is not an answer because it falls within the normal range for BUN levels.
Choice D is wrong because BUN 6 mg/dL is not an answer because it falls within the normal range for BUN levels.