Deck 38: Child With a Skin Condition

Question 1

Which is the priority nursing intervention for a 4-year-old patient brought to the emergency department (ED)for treatment of frostbite?

A) Administering analgesics
B) Immersing the hands in extremely warm water (48.9°C [120°F])
C) Not removing clothing
D) Placing the extremity in a dependent position

Answer 1

Administering analgesics

Question 2

Which topics should be included in a teaching session with parents of school-aged children to prevent sunburn? (Select all that apply.)

A) Playing in the shade
B) Wearing a hat while outdoors
C) Restricting outside activities between 10 a.m.and 2 p.m.
D) Using sunscreen with an SPF of 30 or higher
E) Avoiding sunglasses

Answer 2

Playing in the shade
Wearing a hat while outdoors
Using sunscreen with an SPF of 30 or higher

Question 3

A toddler pulled a pot of boiling water off the stove and suffered partial and full-thickness burns to the chest.The child is now in the recovery-management phase of burn treatment.Which common complication should the nurse assess this client for on the basis of the current data?

A) Asphyxia
B) Metabolic acidosis
C) Shock
D) Wound infection

Answer 3

Wound infection

Question 4

The nurse explains to the parents of a child with a severe burn that wearing an elastic pressure garment (Jobst stocking)during the rehabilitative stage can help prevent which complication?

A) Pain
B) Hypertrophic scarring
C) Poor circulation
D) Formation of a thrombus in the burn area

Question 5

Which is the priority intervention when planning care for an infant who is diagnosed with eczema?

A) Applying antibiotics to lesions
B) Keeping the baby content
C) Maintaining adequate nutrition
D) Preventing infection of lesions

Question 6

Which parental statement indicates to the nurse an accurate understanding regarding the care of a child with tinea capitis (ringworm of the scalp)?

A) "We will give the griseofulvin with milk or peanut butter."
B) "We're glad ringworm isn't transmitted from person to person."
C) "Once the lesion is gone,we can stop the griseofulvin."
D) "Well,at least we don't have to worry about the family cat getting ringworm."

Question 7

The nurse is providing care to a child diagnosed with impetigo.The child's parents ask what caused this to occur.Which organism does the nurse include when educating the parents about impetigo?

A) Staphylococcus aureus
B) Human papillomavirus (HPV)
C) Pseudomonas aeruginosa
D) Escherichia coli

Question 8

Which preventive strategies for tinea pedis,a fungal infection also known as athlete's foot,should the nurse include in a teaching session for an adolescent client? (Select all that apply.)

A) Wear white,100%-cotton socks,changed twice a day.
B) Use talc on the feet daily.
C) Use an over-the-counter corticosteroid cream to treat the area.
D) Wear foot covers such as flip-flops in the locker room and shower.
E) Apply heat to the area twice a day.

Question 9

Which nursing action is accurate when applying a 5% permethrin lotion to a toddler with scabies?

A) Applying the lotion to the scalp,the forehead,and everywhere below the chin
B) Applying the lotion only to areas with evidence of activity
C) Applying the lotion only to the hands
D) Applying the lotion only to the scalp

Question 10

Which skin conditions should the nurse identify as having a genetic or inherited component during a presentation to the staff nurses who work in the integument clinic? (Select all that apply.)

A) Atopic dermatitis
B) Seborrheic dermatitis
C) Epidermolysis bullosa
D) Molluscum contagiosum
E) Psoriasis

Question 11

A 10-year-old child is admitted to the hospital following an accident at school that resulted in a puncture wound of the abdomen.Two days after the injury,the child continues in the inflammation phase of healing.What does the nurse expect to see while changing the child's dressing and assessing the wound?

A) The wound is contracting,and the edges are growing together.
B) A blood clot has formed,sealing the wound.
C) Epithelial cells are growing into the wound.
D) The wound is pale and weepy.

Question 12

Which finding noted by the school nurse while conducting pediculosis capitis (head lice)checks indicates the need for treatment?

A) White,flaky particles throughout the scalp region
B) Lesions on the scalp that extend to the hairline or neck
C) Maculopapular lesions behind the ears
D) Silver/white sacs attached to the hair shafts in the occipital area

Question 13

Which adolescent statements indicate the need for further education related to the prevention and treatment of acne? (Select all that apply.)

A) "I should wash my face each day with an approved cleanser."
B) "I should wash my hands frequently and avoid touching my face."
C) "I should stay away from greasy foods such as pizza."
D) "I should shampoo my hair only once per week."
E) "I should use my topical medication only when acne is present."

Question 14

Which parental statement regarding preventive strategies for insect bites and stings indicates the need for further education?

A) "If my child wears bright colors and floral prints when outdoors,she will blend in with the surroundings,and the stinging insects will not sting her."
B) "We should remove any items with standing water from our yard and surrounding area to prevent mosquito reproduction."
C) "My child can use insect repellent containing DEET of 10% or less."
D) "My child should avoid heavy colognes,perfumes,and soaps so that insects are not attracted to them."

Question 15

The pediatric nurse is providing a preschool-aged child's mother with information regarding impetigo.The mother is concerned about the possibility of passing the infection on to her other toddler-aged child.Which response by the nurse is most appropriate in this situation?

A) "I know that you are concerned about the health of both of your children.Your child has been prescribed 7 days of antibiotic therapy.After 24 hours of antibiotic therapy,you will not need to worry about any transmission of bacteria to your other child."
B) "Caring for both of your children right now will take more time than usual.Do you have anyone who can come and help you with their care?"
C) "To decrease the chance of exposing your younger child,both children must have all of their linens,towels,and toys washed to prevent the spread of disease.In addition,it is best to wash everyone's hands well."
D) "You need to concern yourself only with the child who has impetigo.It is important to ensure that all of the medication is taken and that all toys and linens are washed in the next 24 hours."

Question 16

Which should the nurse include in the plan of care for a child with a minor burn to enhance nutrition and healing?

A) Protein
B) Minerals
C) Carbohydrates
D) Fats

Question 17

Which is the most likely cause for a bright red perianal inflammation with scaly plaques and small papules noted by the nurse during the assessment of a 12-month-old infant?

A) Candida albicans (yeast)
B) Impetigo (Staphylococcus)
C) Infrequent diapering
D) Urine and feces

Question 18

During the assessment of a child,the nurse notices the presence of vesicles that are oozing yellow fluid.Which term does the nurse use when documenting this finding in the medical record?

A) Bulla
B) Pustule
C) Wheal
D) Nodule

Question 19

The nurse is teaching the parents of an infant diagnosed with candidiasis in the diaper area how to treat this occurrence and decrease the risk for future occurrences.Which teaching point does the nurse include in the teaching session?

A) Finishing all of the antiviral medication as prescribed
B) Keeping the diaper area as dry as possible
C) Changing to a lactose-free formula
D) Administering an oral antifungal liquid for prevention of future occurrences

Question 20

The pediatric nurse is assessing a wound on a preschool-aged child's leg and notes that the site is pink with the formation of new epithelial cells.Based on these data,which term does the nurse use to describe the current stage of healing?

A) Proliferation
B) Inflammation
C) Restoration
D) Remodeling