Author Question: A child is seen in the health care clinic, and the nurse suspects the presence of pinworm infection ... (Read 50 times)

OSWALD · **on:** Jul 22, 2018

A child is seen in the health care clinic, and the nurse suspects the presence of pinworm infection (enterobiasis). The nurse instructs the mother as to how to obtain a cellophane tape rectal speci-men.

Which of the following statements, if made by the mother, indicates an understanding of the correct procedure to obtain the specimen? 1. I need to collect the specimen after I give my child a bath.
2. I need to collect the first bowel movement of the day and place it in a sealed container.
3. I need to place a piece of transparent cellophane tape lightly over the anal area as soon as my child awakens and bring it to the clinic for examination.
4. I need to place a piece of transparent cellophane tape lightly over the anal area after my child has a bowel movement and bring it to the clinic for examination.

Question 2

The nurse monitors the blood glucose level of the client who received NPH insulin at 7 AM with an understanding that the client may experience a hypoglycemic reaction between:

1. 9 to 11 AM
2. 1 to 7 PM
3. 7 to 11 PM
4. Midnight to 6 AM

ktidd · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3

Rationale: Diagnosis of pinworm is confirmed by direct visualization of the worms. Parents can view the sleeping child's anus with a flashlight. The worm is white, thin, and about 1 inch long, and it moves. A simple technique, the cellophane tape slide method, is used to capture worms and eggs. Transparent tape is lightly touched to the anus and then applied to a slide for examina-tion. The best specimens are obtained as the child awakens, before toileting or bathing.

Answer to Question 2

2

Rationale: NPH insulin is an intermediate-acting insulin. It peaks in 6 to 12 hours after administration. (Its onset is in 1 to 2 hours, and its duration is 18 to 24 hours.) If the medication was given at 7 AM, the nurse would monitor for hypoglycemia during the time of peak action, which would be between 1 and 7 PM.