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A school nurse is providing education to a child's mother regarding head lice. Which of
the following should the nurse include?
Select one:
a. Lice and nits do not survive away from a host.
b. Your child cannot get lice if their hair is kept clean.
c. Children should be instructed to not share hats or combs.
d. It is very easy to catch lice as they can jump from head to head. - ANSWER c.
Children should be instructed to not share hats or combs. Lice are transmitted by
contact such as via personal items like hats and combs.
A nurse is caring for a 6-month-old client who has sudden abdominal pain, vomiting,
distended abdomen and red current jelly-like stools. The nurse should know that these
are signs for which of the following?
Select one:
a. Intussusception.
b. Appendicitis.
c. Pyloric stenosis.
d. Hernia. - ANSWER a. Intussusception. Intussusception is the telescoping of the
intestine over itself. This usually occurs in infants and young children up to 5 years of
age, but it is most common between 5 and 9 months of age. Manifestations include:
• Normal comfort interrupted by periods of sudden and acute pain
• Palpable, sausage-shaped mass in the right upper quadrant of the abdomen and/or a
tender, distended abdomen
• Stools that are mixed with blood and mucus that resemble the consistency of red
currant jelly
A nurse is caring for an adolescent client diagnosed with mononucleosis. Which of the
following statements by the client's parent indicates a need for further education?
Select one:
, a. "I will prevent him from participating in strenuous activities."
b. "I will encourage him to get plenty of rest."
c. "I will encourage him to drink plenty of liquids."
d. I will give him aspirin as needed for fever and discomfort." - ANSWER d. I will give
him aspirin as needed for fever and discomfort."
A nurse is assessing the physical development of a 3-month-old infant. Which if the
following findings would indicate that the infant may be developmentally delayed?
Select one:
a. Does not attempt to raise head when placed on stomach. CorrectCorrect. By 3
months of age the infant should be raising the head and shoulders off of the mattress.
b. Rolls from back to front.
c. Does not attempt to sit up without support.
d. Does not pick up objects with fingers. - ANSWER a. Does not attempt to raise head
when placed on stomach.
By 3 months of age the infant should be raising the head and shoulders off of the
mattress.
A nurse is providing dietary education to the mother of an infant. What
recommendations regarding the introduction of solid foods to the infant's diet should the
nurse make? Select all that apply.
Select one or more:
a. New foods should be introduced one at a time over a 5- to 7-day period to observe
for signs of allergies or intolerance.
b. Milk, eggs, wheat, citrus, peanut butter and honey can be given after 6 months of
age.
c. Vegetables or fruits are first started between 6 and 8 months of age. After both have
been introduced, meats can be added.
d. Iron-fortified rice cereal should be offered first.
e. Solids can be introduced between 4 and 6 months of age. - ANSWER a, c, d, e -
Solids can be introduced between 4 and 6 months of age., Iron-fortified rice cereal
should be offered first., New foods should be introduced one at a time over a 5- to 7-
day period to observe for signs of allergies or intolerance., Vegetables or fruits are
first started between 6 and 8 months of age. After both have been introduced, meats
can be added.
A nurse is providing developmental education to the mother of a 2-year-old child. What
information regarding temper tantrums should the nurse include?