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Questions 158

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Question 1 of 5

The five-year-old is being tested for enterobiasis (pinworms). Which symptom is associated with enterobiasis?

Correct Answer: A

Rationale: Rectal itching especially at night is the hallmark symptom of enterobiasis (pinworms) due to egg-laying by female worms. Nausea oral ulcerations and scalp itching are not associated with this condition.

Question 2 of 5

In acute episodes of mania, lithium is effective in 12 weeks, but it may take up to 4 weeks, or even a few months, to treat symptoms fully. Sometimes an antipsychotic agent is prescribed during the first few days or weeks of an acute episode to manage severe behavioral excitement and acute psychotic symptoms. In addition to the lithium, which one of the following medications might the physician prescribe?

Correct Answer: B

Rationale: Haloperidol is an antipsychotic medication and may be used until the lithium takes effect.

Question 3 of 5

In counseling a client, the nurse emphasizes the danger signals during pregnancy. On the next visit, the client identifies which of the following as a danger signal that should be reported immediately?

Correct Answer: D

Rationale: Backache is a common complaint during pregnancy. Proper body mechanics, pelvic rock, back rubs, and other comfort measures should relieve the discomfort. In the presence of uterine contractions, the backache would radiate to the lower abdomen. Colostrum is normal and can be present anytime in the second half of pregnancy. Constipation and hemorrhoids are common and do need attention, but they do not constitute a dangerous situation. Visual changes are possibly related to PIH. The client should be assessed immediately to rule out or prevent worsening of PIH.

Question 4 of 5

The nurse is discussing meal planning with the mother of a two-year-old. Which of the following statements,if made by the mother would require a need for further instruction?

Correct Answer: C

Rationale: Hot dogs pose a choking hazard for a two-year-old due to their size and texture indicating a need for further instruction. The other food choices are age-appropriate and safe.

Question 5 of 5

An 18-month-old child has been playing in the garage. His mother brings him to a nurse's home complaining of his mouth being sore. His lips and mouth are soapy and white, with small ulcerated areas beginning to form. The child begins to vomit. His pulse is rapid and weak. The nurse suspects that the child has:

Correct Answer: B

Rationale: (A, C,
D) These agents would not cause ulcerations on mouth and lips. Strong alkali or acids will cause burns and ulcerations on the mucous membranes.

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