When teaching an adolescent about managing tinea pedis, which statement indicates an understanding of the teaching?

Correct Answer: B

Rationale: The correct answer is B) "I should wear sandals as much as possible." This statement indicates an understanding of managing tinea pedis because wearing sandals promotes airflow, keeping the feet dry and preventing the fungus from thriving in moist conditions. Option A is incorrect because wearing plastic shoes at the swimming pool may trap moisture, exacerbating the fungal infection. Option C is incorrect as permethrin cream is typically used to treat scabies, not tinea pedis. Option D is incorrect as sealing non-washable shoes in plastic bags may create a damp environment, facilitating fungal growth. In an educational context, it is crucial to teach adolescents about proper foot hygiene, including keeping feet clean and dry, wearing breathable footwear like sandals, changing socks daily, and avoiding sharing shoes to prevent the spread of tinea pedis. Emphasizing these preventive measures can help adolescents effectively manage and reduce the recurrence of fungal infections.

Correct Answer: D

Rationale: The correct answer is D. Congenital hypothyroidism requires lifelong medication to manage the condition effectively. The nurse should emphasize to the parent that their child will need to take the medication for life to ensure proper thyroid hormone levels and prevent complications associated with hypothyroidism.

Correct Answer: D

Rationale: In this scenario, option D, which is keeping the infant's elbow restrained, is the correct action for the nurse to take. The rationale behind this is that following surgical repair of a cleft lip, it is crucial to prevent the infant from touching or rubbing the surgical site to avoid disruption of the sutures and potential wound complications. Restraining the infant's elbow helps in limiting the infant's movement and reduces the risk of inadvertent injury to the surgical area. Options A, B, and C are incorrect actions for the nurse to take in this situation. Positioning the infant on his abdomen (option A) is not recommended post cleft lip surgery as it can put pressure on the surgical site and may lead to discomfort or disruption of the wound. Cleansing the incision site with hydrogen peroxide (option B) is not advised as it can be harsh on the delicate skin of the infant and may impede the healing process. Offering the infant a pacifier (option C) is also not recommended immediately post cleft lip surgery as sucking on a pacifier may put pressure on the surgical site and interfere with the healing process. In a pediatric nursing context, it is vital for nurses to have a comprehensive understanding of postoperative care following surgical procedures in infants. This includes knowledge of appropriate wound care, positioning, and strategies to prevent complications. By selecting the correct action of keeping the infant's elbow restrained, the nurse demonstrates sound clinical judgment and promotes optimal healing and recovery for the infant post cleft lip surgery.

Correct Answer: C

Rationale: It is essential to give insulin at room temperature to prevent discomfort during administration. Cold insulin can cause stinging and pain, which can be avoided by allowing the insulin to reach room temperature before administration. Storing insulin in the refrigerator is correct for long-term storage, but it should be brought to room temperature before use. Rotating injection sites is important to prevent lipohypertrophy, a condition characterized by fatty lumps that can develop if injections are consistently given in the same area. Administering insulin within 30 minutes of a meal is generally recommended to match the insulin peak action with the peak glucose levels after eating, but giving insulin at room temperature is more crucial to ensure comfort and proper absorption.

Correct Answer: D

Rationale: After a tonsillectomy, applying an ice collar to the child's neck helps decrease pain and swelling. Heat should be avoided as it can increase bleeding. Encouraging coughing may increase the risk of bleeding. Administering analgesics on a regular schedule is essential for pain management, but the immediate postoperative period may require additional interventions like ice collar application.