Nursing Elites

1. When teaching parents of a school-aged child with a new diagnosis of osteomyelitis of the tibia, which statement by the parents indicates an understanding of the teaching?

• A. My child will have a cast until healing is complete.
• B. My child will receive antibiotics for several weeks.
• C. My child can return to playing sports once he is discharged.
• D. My child needs to be in contact isolation.

Correct answer: B

Rationale: The correct answer is B. Osteomyelitis of the tibia typically requires antibiotic therapy for at least 4 weeks. Surgery may be necessary if the infection does not respond to antibiotics. Weight-bearing should be avoided with osteomyelitis to prevent complications. Choices A, C, and D are incorrect because a cast until healing, returning to sports immediately, and contact isolation are not primary management strategies for osteomyelitis.

2. Which factor will not promote play and playfulness in children?

• A. Novel toys
• B. Familiar peers
• C. Comfortable atmosphere
• D. Directive adults

Correct answer: D

Rationale: Directive adults can inhibit spontaneous play and creativity, which are essential for fostering playfulness in children. When adults are too directive, children may feel constrained and less likely to engage in imaginative and free play. Encouraging independence and allowing children to explore and create their play scenarios can enhance playfulness and creativity.

3. A nurse is planning care for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?

• A. Position the infant on his abdomen
• B. Cleanse the incision site with hydrogen peroxide
• C. Offer the infant a pacifier
• D. Keep the infant's elbow restrained

Correct answer: D

Rationale: The nurse should keep the infant�s elbow restrained to prevent injury to the surgical site.

4. A parent is receiving discharge teaching following their infant's hypospadias repair. Which instruction should the parent follow?

• A. Apply a warm compress to the infant's surgical site twice daily.
• B. Avoid giving the infant a tub bath for 1 week.
• C. Apply an antibiotic ointment to the infant's penis daily.
• D. Clamp the infant's catheter for 30 minutes every 4 hours.

Correct answer: B

Rationale: After hypospadias repair, it is essential to avoid giving the infant a tub bath for 1 week to prevent infection and promote proper healing. Submerging the surgical site in water too soon can increase the risk of infection and compromise the healing process.

5. After administering Gardasil, the HPV vaccine, to an 11-year-old girl, the healthcare provider informs the parent that routine screening with which diagnostic test is needed?

• A. Beta hCG
• B. Chlamydia test
• C. PAP test
• D. Mammogram

Correct answer: C

Rationale: Following the administration of Gardasil, the HPV vaccine, routine screening with a PAP test is necessary. While Gardasil protects against certain types of HPV, it does not cover all strains that could lead to cervical cancer. Therefore, individuals who have received the vaccine should still undergo regular PAP tests to screen for cervical abnormalities caused by other HPV strains.

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