Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The nurse is providing instructions to the parents of a child with scoliosis regarding the use of a brace. Which statement by the parents indicates a need for further instruction?
A. will have my child wear soft fabric clothing under the brace"
"I will have my child wear soft fabric clothing under the brace." Explanation: Wearing soft fabric clothing under the brace can enhance comfort and reduce the risk of irritation. This is a suitable practice.
B. I need to apply lotion under the brace to prevent skin breakdown."
"I need to apply lotion under the brace to prevent skin breakdown." Explanation:Applying lotion under the brace may lead to moisture accumulation and skin breakdown. It is generally recommended to keep the skin clean and dry under the brace to prevent irritation and pressure sores. Lotions or creams can contribute to moisture, potentially causing skin problems.
C. need to avoid the use of powder because it will cake under the brace."
"I need to avoid the use of powder because it will cake under the brace." Explanation: Powder can accumulate and cake under the brace, leading to skin issues. This statement is correct, emphasizing the importance of avoiding the use of powder.
D. will encourage my child to perform prescribed exercises."
"I will encourage my child to perform prescribed exercises." Explanation: Encouraging the child to perform prescribed exercises is essential for maintaining flexibility and strength. This statement reflects a positive and supportive approach to managing scoliosis.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Paediatric Assessment Proctored Exam 2022. Take the full exam now
Full Explanation
A. "I will have my child wear soft fabric clothing under the brace."
Explanation: Wearing soft fabric clothing under the brace can enhance comfort and reduce the risk of irritation. This is a suitable practice.
B. "I need to apply lotion under the brace to prevent skin breakdown."
Explanation:
Applying lotion under the brace may lead to moisture accumulation and skin breakdown. It is generally recommended to keep the skin clean and dry under the brace to prevent irritation and pressure sores. Lotions or creams can contribute to moisture, potentially causing skin problems.
C. "I need to avoid the use of powder because it will cake under the brace."
Explanation: Powder can accumulate and cake under the brace, leading to skin issues. This statement is correct, emphasizing the importance of avoiding the use of powder.
D. "I will encourage my child to perform prescribed exercises."
Explanation: Encouraging the child to perform prescribed exercises is essential for maintaining flexibility and strength. This statement reflects a positive and supportive approach to managing scoliosis.
Similar Questions
The nurse has provided discharge instructions to the parents of a 2-year-old child who underwent an orchiopexy to correct cryptorchidism, which statement by the parents indicates a need for further instruction?
A. "I'll check my child's temperature."
"I'll check my child's temperature." Explanation: Monitoring the child's temperature is a general indicator of well-being and can help identify signs of infection or other postoperative concerns.
B. "I'll give medication so that my child will be comfortable."
"I'll give medication so that my child will be comfortable." Explanation: Administering prescribed medication for comfort is a suitable practice to manage postoperative pain or discomfort.
C. I’ll check my child's voiding to be sure there's no problem."
"I'll check my child's voiding to be sure there's no problem." Explanation:After an orchiopexy procedure, checking voiding may not be directly related to the surgical intervention. Orchiopexy is a procedure to correct cryptorchidism, which involves repositioning an undescended testicle into the scrotum. While monitoring for general signs of well-being is important, specifically checking voiding might not be directly relevant to the surgical recovery process.
D. "I’Il let my child decide when to return to play activities.
"I'll let my child decide when to return to play activities." Explanation: Allowing the child to gradually resume play activities based on their comfort and recovery is a reasonable approach, considering individual variations in recovery times.
Full Explanation
A. "I'll check my child's temperature."
Explanation: Monitoring the child's temperature is a general indicator of well-being and can help identify signs of infection or other postoperative concerns.
B. "I'll give medication so that my child will be comfortable."
Explanation: Administering prescribed medication for comfort is a suitable practice to manage postoperative pain or discomfort.
C. "I'll check my child's voiding to be sure there's no problem."
Explanation:
After an orchiopexy procedure, checking voiding may not be directly related to the surgical intervention. Orchiopexy is a procedure to correct cryptorchidism, which involves repositioning an undescended testicle into the scrotum. While monitoring for general signs of well-being is important, specifically checking voiding might not be directly relevant to the surgical recovery process.
D. "I'll let my child decide when to return to play activities."
Explanation: Allowing the child to gradually resume play activities based on their comfort and recovery is a reasonable approach, considering individual variations in recovery times.
A nurse is caring for a child who has tinea pedis. The child's parent asks the nurse what this infection is commonly called. The nurse should respond with which of the following common names?
A. Valley fever
Valley fever Explanation: Valley fever is a respiratory infection caused by inhaling spores of the Coccidioides fungus. It is not related to tinea pedis.
B. Shingles
Shingles Explanation: Shingles is a painful rash caused by the varicella-zoster virus. It is not related to tinea pedis.
C. Fever blister
Fever blister Explanation: A fever blister is another term for a cold sore, typically caused by the herpes simplex virus. It is not related to tinea pedis, which is a fungal infection of the feet.
D. Athlete's foot
"Athlete's foot" Explanation: Tinea pedis is commonly known as athlete's foot. It is a fungal infection that affects the skin of the feet, particularly the spaces between the toes. The condition is often associated with warm and moist environments, such as those found in athletic shoes, hence the term "athlete's foot."
Full Explanation
A. Valley fever
Explanation: Valley fever is a respiratory infection caused by inhaling spores of the Coccidioides fungus. It is not related to tinea pedis.
B. Shingles
Explanation: Shingles is a painful rash caused by the varicella-zoster virus. It is not related to tinea pedis.
C. Fever blister
Explanation: A fever blister is another term for a cold sore, typically caused by the herpes simplex virus. It is not related to tinea pedis, which is a fungal infection of the feet.
D. "Athlete's foot"
Explanation:
Tinea pedis is commonly known as athlete's foot. It is a fungal infection that affects the skin of the feet, particularly the spaces between the toes. The condition is often associated with warm and moist environments, such as those found in athletic shoes, hence the term "athlete's foot."
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. Sausage-shaped mass palpated in the upper right abdominal quadrant
Sausage-shaped mass palpated in the upper right abdominal quadrant. Explanation: A sausage-shaped mass in the upper right abdominal quadrant is more indicative of Hirschsprung's disease, not imperforate anus. In Hirschsprung's disease, there is a lack of ganglion cells in the rectum, leading to obstruction and a palpable mass.
B. The passage of currant jelly-like stools
The passage of currant jelly-like stools. Explanation: The passage of currant jelly-like stools is characteristic of intussusception, a condition where one portion of the intestine telescopes into another. It is not associated with imperforate anus.
C. Bile-stained fecal emesis
Bile-stained fecal emesis. Explanation: Bile-stained fecal emesis suggests a possible intestinal obstruction or other gastrointestinal issue, but it is not a specific manifestation of imperforate anus. Imperforate anus is primarily characterized by the absence of a normal anal opening.
D. Failure to pass meconium stool in the first 24 hours after birth
Failure to pass meconium stool in the first 24 hours after birth. Explanation: Imperforate anus refers to a congenital condition in which the opening to the anus is absent or improperly formed. One of the clinical manifestations is the failure to pass meconium stool within the first 24 hours after birth. Meconium is the thick, sticky, greenish-black substance that constitutes a newborn's first stools. The absence of meconium passage suggests a potential obstruction.
Full Explanation
A. Sausage-shaped mass palpated in the upper right abdominal quadrant.
Explanation: A sausage-shaped mass in the upper right abdominal quadrant is more indicative of Hirschsprung's disease, not imperforate anus. In Hirschsprung's disease, there is a lack of ganglion cells in the rectum, leading to obstruction and a palpable mass.
B. The passage of currant jelly-like stools.
Explanation: The passage of currant jelly-like stools is characteristic of intussusception, a condition where one portion of the intestine telescopes into another. It is not associated with imperforate anus.
C. Bile-stained fecal emesis.
Explanation: Bile-stained fecal emesis suggests a possible intestinal obstruction or other gastrointestinal issue, but it is not a specific manifestation of imperforate anus. Imperforate anus is primarily characterized by the absence of a normal anal opening.
D. Failure to pass meconium stool in the first 24 hours after birth.
Explanation:
Imperforate anus refers to a congenital condition in which the opening to the anus is absent or improperly formed. One of the clinical manifestations is the failure to pass meconium stool within the first 24 hours after birth. Meconium is the thick, sticky, greenish-black substance that constitutes a newborn's first stools. The absence of meconium passage suggests a potential obstruction.