Chapter 16 - Health Problems of School Age Children and Adolescents Flashcards
Deficiency of which vitamin or mineral results in an inadequate inflammatory response?
a. A
b. B1
c. C
d. Zinc
a. A
An occlusive dressing is applied to a large abrasion. This is advantageous because the dressing will accomplish what?
a. Deliver vitamin C to the wound.
b. Provide an antiseptic for the wound.
c. Maintain a moist environment for healing.
d. Promote mechanical friction for healing.
c. Maintain a moist environment for healing.
A toddler has a deep laceration contaminated with dirt and sand. Before closing the wound, the nurse should irrigate with what solution?
a. Alcohol
b. Normal saline
c. Povidoneiodine
d. Hydrogen peroxide
b. Normal saline
The nurse should know what about Lyme disease?
a. Very difficult to prevent
b. Easily treated with oral antibiotics in stages 1, 2, and 3
c. Caused by a spirochete that enters the skin through a tick bite
d. Common in geographic areas where the soil contains the mycotic spores that cause the disease
c. Caused by a spirochete that enters the skin through a tick bite
The school nurse is seeing a child who collected some poison ivy leaves during recess. He says only his hands touched it. What is the most appropriate nursing action?
a. Soak his hands in warm water.
b. Apply Burows solution compresses.
c. Rinse his hands in cold running water.
d. Scrub his hands thoroughly with antibacterial soap
c. Rinse his hands in cold running water.
A 6-year-old boy with very fair skin will be joining his family during a beach vacation. What should the nurse recommend?
a. Keep him off the beach during the daytime hours.
b. Use sunscreen with an SPF of at least 15 and reapply it every 2 to 3 hours.
c. Apply a topical sunscreen product with an SPF of 30 in the morning.
d. Dress him in long pants and long-sleeved shirt and keep him under a beach umbrella.
b. Use sunscreen with an SPF of at least 15 and reapply it every 2 to 3 hours.
The management of a child who has just been stung by a bee or wasp should include applying
what?
a. Cool compresses
b. Antibiotic cream
c. Warm compresses
d. Corticosteroid cream
a. Cool compresses
A parent calls the clinic nurse because his 7-year-old child was bitten by a black widow spider. What action should the nurse advise the parent to take?
a. Apply warm compresses.
b. Carefully scrape off the stinger.
c. Take the child to the emergency department.
d. Apply a thin layer of corticosteroid cream.
c. Take the child to the emergency department.
A school-age child has been bitten on the leg by a large snake that may be poisonous. During transport to an emergency facility, what should the care include?
a. Apply ice to the snakebite.
b. Immobilize the leg with a splint.
c. Place a loose tourniquet distal to the bite.
d. Apply warm compresses to the snakebite.
b. Immobilize the leg with a splint.
Parents phone the nurse and say that their child just knocked out a permanent tooth. What should the nurses instructions to the parents include?
a. Place the tooth in dry container for transport.
b. Hold the tooth by the crown and not by the root area.
c. Transport the child and tooth to a dentist within 18 hours.
d. Take the child to hospital emergency department if his or her mouth is bleeding
b. Hold the tooth by the crown and not by the root area.
An adolescent girl calls the nurse at the clinic because she had unprotected sex the night before and does not want to be pregnant. What should the nurse explain?
a. It is too late to prevent an unwanted pregnancy.
b. An abortion may be the best option if she is pregnant.
c. The risk of pregnancy is minimal, so no action is necessary.
d. Postcoital contraception is available to prevent implantation and therefore pregnancy.
b. An abortion may be the best option if she is pregnant.
An adolescent girl is brought to the hospital emergency department by her parents after being raped. The girl is calm and controlled throughout the interview and examination. The nurse should recognize this behavior is what?
a. A sign that a rape has not actually occurred
b. One of a variety of behaviors normally seen in rape victims
c. Indicative of a higher than usual level of maturity in the adolescent
d. Suggestive that the adolescent had severe emotional problems before the rape occurred
b. One of a variety of behaviors normally seen in rape victims
The nurse has determined that an adolescents body mass index (BMI) is in the 90th percentile. What information should the nurse convey to the adolescent?
a. The adolescent is overweight.
b. The adolescent has maintained weight within the normal range.
c. The adolescent is at risk for becoming overweight.
d. Nutritional supplementation should occur at least three times per week
c. The adolescent is at risk for becoming overweight.
The nurse is teaching a class on obesity prevention to parents in the community. What is a contributing factor to childhood obesity?
a. Birth weight
b. Parental overweight
c. Age at the onset of puberty
d. Asian ethnic background
b. Parental overweight
During a well-child visit, the nurse plots the childs BMI on the health record. What is the purpose of the BMI?
a. To determine medication dosages
b. To predict adult height and weight
c. To identify coping strategies used by the child
d. To provide a consistent measure of obesity
d. To provide a consistent measure of obesity
