MED SURG 1 QUIZ #3 Elsevier Adaptive Quizzing

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A parent receives a note from school reporting that a student in class has head lice. The parent calls the school nurse to ask how to check for head lice. What instruction should the nurse provide? ... "Ask the child where it itches." "Check to see whether your dog has ear mites." "Look at your child's head along the scalp line for white dots." "Inspect your child's hands and look between the fingers for red lines." Rationale The white dots are nits, the eggs of head lice ( Pediculosis capitis); they can be seen on the shaft of hair along the scalp line, behind the ears, and at the nape of the neck. Asking the child where it itches is too vague; objective visualization will confirm the presence of nits. Canine ear mites are not transferable to humans. Red lines between the fingers are a sign of scabies, infestation with the Sarcoptes scabiei mite. Which part of the respiratory system is referred to as Angle of Louis? Hilum Carina Alveoli Epiglottis Rationale Located at the level of the manubriosternal junction, the carina is also referred to as the Angle of Louis. The mainstream bronchi, pulmonary vessels, and nerves enter the lungs through a slit called the hilum. Alveoli are small sacs that are the primary site of gas exchange in the lungs. The epiglottis is a small flap located behind the tongue that closes over the larynx during swallowing. Correct (28) A primigravida has just given birth. The nurse is aware that the client has type AB Rh- negative blood. Her newborn’s blood type is B positive. What should the plan of care include? Determining the father’s blood type Preparing for a maternal blood transfusion Observing the newborn for signs of ABO incompatibility Obtaining a prescription to administer Rho(D) immune globulin to the mother Rationale Rho(D) immune globulin will prevent sensitization resulting from Rh incompatibility that may arise between an Rh-negative mother and an Rh-positive newborn. Determining the father’s blood type is unnecessary because only the mother’s and infant’s Rh factors are relevant. Preparing for a maternal blood transfusion is unnecessary; if a transfusion were needed, it would be for the newborn, not the mother. There is no ABO incompatibility; incompatibility might occur if the mother were O positive and the newborn had type A, B, or AB blood. STUDY TIP: You have a great resource in your classmates. We all have different learning styles, strengths, and perspectives on the material. Participating in a study group can be a valuable addition to your nursing school experience. A client has symptoms associated with salmonellosis. Which data are most relevant for the nurse to obtain from the client’s history? Any rectal cancer in the family All foods eaten in the past 24 hours Any recent extreme emotional stress An upper respiratory infection in the past 10 days Rationale The salmonella organism thrives in warm, moist environments; all foods eaten within the last 24 hours are the most relevant data. Washing, cooking, and refrigerating food limit the growth of or eliminate the organism. Salmonellosis is unrelated to cancer. The salmonella organism, not stress, causes salmonellosis. The salmonella organism is ingested; it is not an airborne or blood-borne infection. A 3-year-old child is to receive a liquid iron preparation. What will the nurse teach the mother regarding this medication? Monitor the stools for diarrhea. Administer with meals to improve absorption. Avoid giving the child orange juice with the iron preparation. Have the child drink the diluted iron preparation through a straw. Rationale A liquid iron preparation may stain tooth enamel; therefore it should be diluted and administered through a straw. Constipation, rather than loose stools, often results from the administration of iron. Iron absorption is improved when taken on an empty stomach. The exception is acidic foods, such ...........................................................................................................................................................................CONTINUED [Show More]

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