Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
13. The school nurse inspects the toddlers attending the school's day-care center. Which observation by the nurse is cause for follow-up for pinworms?
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
13. The school nurse inspects the toddlers attending the school's day-care center. Which observation by the nurse is cause for follow-up for pinworms?
. All of the toddlers are wearing shoes and socks.
. Some of the toddlers are wearing one-piece outfits.
. Most of the toddlers have short fingernails.
. Most of the toddlers are wearing cloth diapers.
Test-Taking Tip
Ask yourself: What is the relationship between diapers and infestations?
Picture this: Diapers cover → Perianal Area ← Infestations occur in Remember that diapers come in direct contact with the toddler's perianal area, which is where the infestation is located. Superabsorbent disposable diapers would be preferred over cloth diapers because they may prevent leakage of contaminated feces.
Content Area: Child Health, Gastrointestinal; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Health Screening
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because the wearing of shoes and socks is encouraged to prevent toddlers from acquiring the infestation from contaminated soil. This observation would not be cause for follow-up by the school nurse. Answer 2 is incorrect because the wearing of one-piece outfits prevents the toddlers from touching or scratching their perianal areas and continually reinfecting themselves. This observation would not be cause for follow-up by the school nurse. Answer 3 is incorrect because short fingernails prevent the eggs from being deposited on the hands and under the fingernails of the toddlers, with continual reinfection through scratching their perianal areas. This observation would not be cause for follow-up by the school nurse. Answer 4 is correct because the use of superabsorbent disposable diapers, which prevent leakage, are preferred over cloth diapers. Cloth diapers leak, which could result in feces that may be infested with pinworms (enterobiasis) to be spread from toddler to toddler. Cloth diapers would also be taken home to be laundered, which is another way to spread the infestation. The superabsorbent disposable diapers should be disposed of in a closed receptacle as soon as they are soiled.