A nurse is following procedures for using pharmaceutical interventions for pain in the hospitalized child. Which of the following actions by the nurse needs further instruction?

Correct Answer: C

Rationale: Administering pain medication, especially narcotics, without a second nurse violates safety protocols requiring double-checking, needing correction.

Correct Answer: C

Rationale: A 90-degree angle (C) is standard for insulin injection in children, ensuring subcutaneous delivery. Six inches (A) is excessive, exercised sites (B) affect absorption, and intramuscular (D) is incorrect. Document: 'Children often find it easier to learn to inject the needle at a 90-degree angle.'

Correct Answer: C

Rationale: Condom use (C) reduces STD risk, though not 100%. Vaccines (A) are limited (e.g., HPV), douching (B) increases risk, and the pill (D) prevents pregnancy, not STDs. Document: 'The use of condoms to prevent STDs is… recommended.'

Correct Answer: A

Rationale: Fifth Disease (A), caused by parvovirus B19, presents with a 'slapped cheek' rash. Roseola (B) has a truncal rash, measles (C) koplik spots, and Lyme (D) a bullseye rash. Document: 'Child has “Slapped Cheek” appearance… Fifth Disease.'

Correct Answer: B

Rationale: Periorbital edema (B) is an early sign of nephrotic syndrome due to protein loss and fluid retention. Rash (A), fever (C), and pain (D) are not typical. Document: 'An early sign… is periorbital edema.'