MED SURG 1 QUIZ 3 - Exit Performance MED SURG 1 QUIZ #3 Due Feb 20,...

2/20/2019 Elsevier Adaptive Quizzing - Quiz performance

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Exit Performance

MED SURG 1 QUIZ #3

Due Feb 20, 2019 by 3:45 pm

28 out of 30 questions answered correctly

Incorrect (2)

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

Final Score

Completed on Feb 20, 2019 6:15 pm

2/20/2019 Elsevier Adaptive Quizzing - Quiz performance

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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.

2/20/2019 Elsevier Adaptive Quizzing - Quiz performance

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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 as citrus juices, which improve absorption.

The nurse is providing discharge instructions to the parents of a child who has undergone surgical correction of hypospadias. What is the priority information for the nurse to include?

Ensuring that the child's privacy is maintained Increasing the time that the catheter is clamped Maintaining the surgically implanted tension device

Teaching parents how to care for the catheterization system

Rationale Parents should know how to empty the urine bag and how to prevent kinking of the tubing. Although the child's privacy is important, the priority is maintaining the flow of urine through the indwelling catheter. The indwelling catheter is never clamped because backup pressure could disturb the suture line. There is no tension device.

When teaching an adolescent with type 1 diabetes about dietary management, what instruction should the nurse include?

Meals should be eaten at home.Foods should be weighed on a gram scale.

A ready source of glucose should be available.Specific foods should be cooked for the adolescent.

2/20/2019 Elsevier Adaptive Quizzing - Quiz performance Rationale

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An adolescent with type 1 diabetes must carry a source of simple sugar (e.g., glucose tablets, Insta-Glucose, sugar-containing candy such as LifeSavers) to rapidly counteract the effects of hypoglycemia. This should be followed by a complex carbohydrate and a protein. Stating that meals should be eaten at home is an unrealistic and unnatural instruction for an adolescent. Stating that foods should be weighed on a gram scale is an unnecessary and time-consuming procedure. The adolescent should be made to feel a part of the family; the recommended diet is nutritious and no different from that of the rest of the family.

What is a manifestation of tertiary syphilis?

Chancre Alopecia

Gummas Condylomata lata

Rationale Gummas which are chronic, destructive lesions affecting the skin, bone, liver, and mucous membranes occur during tertiary syphilis. A chancre appears during primary syphilis. Alopecia and condylomata lata occur during secondary syphilis.

An adolescent who has had a leg amputated because of bone cancer begins to experience phantom limb sensations. How should the nurse respond when the client complains of pain and requests medication?

By withholding the medication to help prevent addiction By stating that the limb has been removed and that the pain is psychological

By acknowledging that the pain is real and administering medication to relieve it By explaining that the phantom limb sensation will subside within a few more days

Rationale Pain medication is required, along with intensive supportive nursing care. To the client the pain is real, requiring pain medication; addiction is not a concern at this time. Explaining that the pain is psychological in origin does not help relieve the pain; medication and emotional support are required. The pain may not recede within a few days; pain medication should be administered.

Which autoantigens are responsible for the development of Crohn’s disease?

Crypt epithelial cells Thyroid cell surface Basement membranes of the lungs Basement membranes of the glomeruli