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NO.1 The pediatrician has diagnosed tinea capitis in an 8- year-old girl and has placed her on oral
griseofulvin. The nurse should emphasize which of these instructions to the mother and/or child?
A. May discontinue medication when the child experiences symptomatic relief.
B. Discontinue drug therapy if food tastes funny.
C. Administer oral griseofulvin on an empty stomach for best results.
D. Observe for headaches, dizziness, and anorexia.
Answer: D
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Explanation:
(A) Giving the drug with or after meals may allay gastrointestinal discomfort. Giving the drug with a
fatty meal (ice cream or milk) increases absorption rate. (B) Griseofulvin may alter taste sensations
and thereby decrease the appetite. Monitoring of food intake is important, and inadequate nutrient
intake should be reported to the physician. (C) The child may experience symptomatic relief after 48-
96 hours of therapy. It is important to stress continuing the drug therapy to prevent relapse (usually
about 6 weeks). (D) The incidence of side effects is low; however, headaches are common. Nausea,
vomiting, diarrhea, and anorexia may occur. Dizziness, although uncommon, should be reported to
the physician.
NO.2 A 24-year-old client presents to the emergency department protesting "I am God." The nurse
identifies this as a:
A. Illusion
B. Hallucination
C. Delusion
D. Conversion
Answer: C
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Explanation:
(A) Delusion is a false belief. (B) Illusion is the misrepresentation of a real, external sensory
experience. (C) Hallucination is a false sensory perception involving any of the senses. (D) Conversion
is the expression of intrapsychic conflict through sensory or motor manifestations.
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