Exam (elaborations)
Chapter 16. Health Problems of School Age Children and Adolescents
- Course
- Pediatric nursing
- Institution
- Baylor College Of Medicine
Chapter 16. Health Problems of School Age Children and Adolescents
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Chapter 16. Health Problems of School Age Children and AdolescentsMULTIPLE CHOICE
1. Deficiency of which vitamin or mineral results in an inadequate inflammatory response?
, a. A
b. B1
c. C
d. Zinc
ANS: A
A deficiency of vitamin A results in an inadequate inflammatory response. Deficiencies of
vitamins B1 and C result in decreased collagen formation. A deficiency of zinc leads to impaired
epithelialization.
DIF: Cognitive Level: Understanding REF: dl. 613
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
2. 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. ANS: C
Occlusive dressings, such as Acuderm, are not adherent to the wound site. They provide a moist
wound surface and insulate the wound. The dressing does not have vitamin C or antiseptic
capabilities. Acuderm protects against friction.
DIF: Cognitive Level: Analyzing REF: dl. 613
, TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
3. 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
ANS: B
Normal saline is the only acceptable fluid for irrigation listed. The nurse should cleanse the
wound with a forced stream of normal saline or water. Alcohol is not used for wound irrigation.
Povidoneiodine is contraindicated for cleansing fresh, open wounds. Hydrogen peroxide can
cause formation of subcutaneous gas when applied under pressure.
DIF: Cognitive Level: Analyzing REF: dl. 616
TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
4. 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
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