Case Studies / Quiz Questions Flashcards
Jimmy is a 4-year old preschool student who is brought to the school nurse’s office by his teacher. She is concerned because Jimmy has purulent discharge in the corner of both eyes, with inflamed conjunctiva. The nurse observes Jimmy wiping his eyes frequently with his hands.
Based on the information provided, what does the nurse suspect?
a.) Bacterial conjunctivitis
b.) Viral conjunctivitis
c.) Allergic conjunctivitis
d.) Conjunctivitis caused by a foreign body
a.) Bacterial conjunctivitis
Jimmy is a 4-year old preschool student who is brought to the school nurse’s office by his teacher. She is concerned because Jimmy has purulent discharge in the corner of both eyes, with inflamed conjunctiva. The nurse observes Jimmy wiping his eyes frequently with his hands.
The nurse can expect treatment for Jimmy’s condition to include:
a.) Continuous warm compresses held in place on each eye.
b.) Application of fluoroquinolone ophthalmic agents.
c.) Oral broad-spectrum antibiotics
d.) All of the above
d.) All of the above
- continuous warm compress
- fluoroquinolone ophthalmic agents
- oral braod-spectrum abx
Jimmy is a 4-year old preschool student who is brought to the school nurse’s office by his teacher. She is concerned because Jimmy has purulent discharge in the corner of both eyes, with inflamed conjunctiva. The nurse observes Jimmy wiping his eyes frequently with his hands.
It is important to include what infromation in the teaching plan for Jimmy’s parents?
a.) Eye medication will need to be administered before the eyes are cleaned.
b.) Jimmy cannot return to school until all his symptoms have stopped.
c.) Jimmy needs to have his own face cloth & towel.
d.) Jimmy will need his own eating utensils.
c.) Jimmy needs to have his own face cloth & towel
Jimmy is a 4-year old preschool student who is brought to the school nurse’s office by his teacher. She is concerned because Jimmy has purulent discharge in the corner of both eyes, with inflamed conjunctiva. The nurse observes Jimmy wiping his eyes frequently with his hands.
The effectiveness of nursing interventiosn for Jimmy’s condition is best demonstrated by which of the following evaluations?
a.) There is no spread of the disease within the school & family.
b.) Parents are able to demonstrate appropriate eye care.
c.) Jimmy reports no eye discomfort.
d.) Child engages in normal activities.
a.) There is no spread of the disease within the school & family
Tommy is 5 years old & is hospitalized for a tonsillectomy and adenoidectomy.
The nurses assess Tommy & would expect him to complain of which of the following symptoms?
a.) Generalized weakness
b.) Pain
c.) Chills
d.) Enuresis
b.) Pain
Tommy is 5 years old & is hospitalized for a tonsillectomy and adenoidectomy.
Which of the following should alert the nurse to the possibility of a post-operative hemorrhage?
a.) Slow heart rate
b.) Expectoration of reddish-brown saliva
c.) Frequent swallowing
d.) Fever of 38.8 C
c.) Frequent swallowing
Tommy is 5 years old & is hospitalized for a tonsillectomy and adenoidectomy.
In completing a NCP for Tommy, which of the following interventions would be appropriate to include? (Select all that apply)
a.) Application of an ice collar
b.) Administer Tylenol elixir
c.) Suctioning of the posterior pharynx
d.) Offering cool liquids as tolerated
a.) Application of an ice collar
b.) Administer Tylenol elixir
d.) Offering cool liquids as tolerated
Tommy is 5 years old & is hospitalized for a tonsillectomy and adenoidectomy.
In preparing Tommy for discharge, what should the nurse include in the teaching to Tommy’s parents? (Select all that apply)
a.) The importance of offering small amounts of cool fluids.
b.) Apply an ice collar around the child’s neck.
c.) The importance of calling Tommy’s doctor if Tommy’s temperature is greater than 37.5 C.
d.) Give Motrin every 4-6 hours as needed.
e.) Have the child gargle with 1/2 tsp each of baking soda & salt.
a.) The importance of offering small amounts of cool fluids.
b.) Apply an ice collar around the child’s neck.
c.) The importance of calling Tommy’s doctor if his temperature is greater than 37.5 C.
e.) Have the child gargle with 1/2 tsp each of baking soda & salt.