Hey Sinyorita, good to see you again.
Here are the answers to your quiz questions:
Which antibiotic administration nursing principle is correct?
The correct principle is to complete the full course even if symptoms improve.
- Complete the full course even if symptoms improve
- Explanation: Stopping antibiotics early can lead to a recurrence of the infection and contribute to antibiotic resistance.
Scabies is caused by:
Scabies is caused by mites.
- Mites
- Explanation: Scabies is a skin infestation caused by the Sarcoptes scabiei mite.
Which finding supports possible pyelonephritis?
Flank pain supports possible pyelonephritis.
- Flank pain
- Explanation: Pyelonephritis is an infection of the kidneys, and flank pain (pain in the back or side, below the ribs) is a characteristic symptom.
The most common mode of transmission of COVID-19 is:
The most common mode of transmission of COVID-19 is aerosol.
- Aerosol
- Explanation: COVID-19 primarily spreads through respiratory droplets and aerosols released when an infected person breathes, talks, coughs, or sneezes.
The most important nursing instruction after treating a patient with scabies is:
The most important nursing instruction is to wash all bedding and clothing in hot water.
- Wash all bedding and clothing in hot water
- Explanation: This prevents re-infestation and spread by killing any mites or eggs that may have fallen off the patient.
For a child with UTI, which urine characteristic is commonly associated?
Cloudy urine is commonly associated with a child with UTI.
- Cloudy urine
- Explanation: Cloudy urine can indicate the presence of white blood cells, bacteria, or pus, which are signs of a urinary tract infection.
For a child with mild COVID-19 symptoms, the nurse should prioritize:
The nurse should prioritize supportive care: hydration, antipyretics as ordered, rest.
- Supportive care: hydration, antipyretics as ordered, rest
- Explanation: For mild symptoms, the focus is on managing symptoms and supporting the child's recovery.
A priority nursing action for a child with UTI is to:
A priority nursing action is to maintain hydration and monitor intake/output.
- Maintain hydration and monitor intake/output
- Explanation: Adequate hydration helps flush bacteria from the urinary tract, and monitoring I&O is crucial for assessing kidney function and fluid balance.
A nursing priority for a child with CHD and heart failure symptoms is:
A nursing priority is to monitor respiratory rate and work of breathing.
- Monitor respiratory rate and work of breathing
- Explanation: Children with heart failure often experience respiratory distress due to pulmonary congestion, making respiratory assessment a critical priority.
A child with suspected UTI has fever and dysuria. Which test is most appropriate to confirm diagnosis?
Urinalysis is the most appropriate test to confirm diagnosis.
- Urinalysis
- Explanation: Urinalysis examines the urine for signs of infection, such as white blood cells, nitrites, and bacteria, which are indicative of a UTI.
The most accurate way to obtain urine for culture in a young child (to avoid contamination) is:
The most accurate way is suprapubic aspiration.
- Suprapubic aspiration
- Explanation: This method involves directly aspirating urine from the bladder, minimizing the risk of external contamination, which is common with other methods in young children.
In a child with UTI, the nurse should monitor for complications such as:
The nurse should monitor for complications such as dehydration and kidney injury.
- Dehydration and kidney injury
- Explanation: Untreated or severe UTIs, especially pyelonephritis, can lead to dehydration (due to fever and poor intake) and potentially cause damage to the kidneys.
Cyanotic CHD is more likely associated with:
Cyanotic CHD is more likely associated with low systemic oxygen leading to cyanosis.
- Low systemic oxygen leading to cyanosis
- Explanation: Cyanotic heart defects involve the shunting of deoxygenated blood into the systemic circulation, resulting in lower oxygen saturation and a bluish discoloration of the skin (cyanosis).
Which symptom is most characteristic of scabies?
Severe nocturnal itching is most characteristic of scabies.
- Severe nocturnal itching
- Explanation: The itching caused by scabies mites burrowing into the skin is typically most intense at night.
A common presentation of “left-to-right shunt” CHD is:
A common presentation is increased pulmonary blood flow and possible heart failure symptoms.
- Increased pulmonary blood flow and possible heart failure symptoms
- Explanation: In left-to-right shunts, oxygenated blood flows from the left side of the heart to the right side, increasing blood flow to the lungs and potentially leading to pulmonary hypertension and heart failure.
Which symptom is most suggestive of lower UTI (cystitis) rather than pyelonephritis?
Dysuria is most suggestive of lower UTI (cystitis).
- Dysuria
- Explanation: Dysuria (painful or difficult urination) is a classic symptom of cystitis, an infection of the bladder (lower UTI), while flank pain, high fever, and vomiting are more indicative of pyelonephritis (upper UTI).
A key symptom to assess in children with COVID-19 includes:
A key symptom to assess is persistent fever and respiratory distress.
- Persistent fever and respiratory distress
- Explanation: These are critical indicators of more severe COVID-19 in children, requiring close monitoring and intervention.
Scabies rash is most commonly found on:
Scabies rash is most commonly found on web spaces of fingers, wrists, and trunk.
- Web spaces of fingers, wrists, and trunk
- Explanation: These are common sites where the mites burrow, especially in adults and older children.
In managing a child with CHD, what is an important nursing assessment?
An important nursing assessment is ongoing growth and feeding tolerance.
- Ongoing growth and feeding tolerance
- Explanation: Children with CHD often have increased metabolic demands and may struggle with feeding, leading to poor weight gain and growth failure, making these crucial assessments.
After starting antibiotics for UTI, improvement is expected within:
Improvement is expected within 24 hours.
- 24 hours
- Explanation: While a full course may be 7-10 days, clinical improvement (e.g., reduction in fever, dysuria) is typically observed within 24-72 hours of starting appropriate antibiotic therapy.
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