Deck 30: The Child with a Skin Condition

Question 1

An allergy to which of the following would contraindicate the use of silver sulfadiazine (Silvadene)as a topical agent for burns?

A) Penicillin
B) Iodine
C) Tetanus immunizations
D) Sulfa

Answer 1

Sulfa

Question 2

What would help the child with a serious burn meet nutritional needs during the subacute phase of recovery?

A) Decrease calories because the child will be on bed rest and will not need as many.
B) Increase calories and protein to compensate for the healing process.
C) Increase fat to replace the layer of fat next to the burned skin.
D) Decrease carbohydrates and starches because the pancreas is strained by the healing process.

Answer 2

Increase calories and protein to compensate for the healing process.

Question 3

The best first action to take when a child sustains a second-degree deep thermal burn to the hand is to:

A) immerse the burned area in cold water.
B) apply ice to the burned area.
C) break any blisters that are present.
D) apply petroleum jelly to the burned skin.

Answer 3

immerse the burned area in cold water.

Question 4

The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old because the infant's skin,compared to the adult's,has:

A) less perfusion.
B) greater moisture.
C) more perspiration.
D) greater absorption.

Question 5

At a 2-month well-child visit,parents ask the nurse about the red area on the infant's neck.They tell the nurse that the mark appeared a few weeks after birth.The nurse recognizes this skin lesion as:

A) a port wine nevus.
B) a strawberry nevus.
C) exanthem.
D) intertrigo.

Question 6

The appropriate technique for the application of a topical treatment for a child with eczema is to:

A) apply skin lotions in a circular motion.
B) apply prescribed ointments with a gloved hand.
C) apply as much and as frequently as relieves the symptoms.
D) choose lanolin-based ointments.

Question 7

The home health nurse discovers a family infected with pediculosis and helps the mother understand ways to start eradication of the lice,such as:

A) covering the hair with Vaseline.
B) applying a soda-vinegar solution to the hair.
C) combing through the hair with a vinegar-water solution.
D) shampooing the hair with dish detergent.

Question 8

The statement made by a parent indicating an understanding of the topical application of medications for a skin condition is:

A) "I apply the medication after I give my child a bath. "
B) "I rub the ointment in a circular motion over the rash. "
C) "I increased the amount of cream because the rash was not improving. "
D) "I use powder and cornstarch to keep the skin dry. "

Question 9

The nurse takes into consideration that children who have been diagnosed with infantile eczema have an increased risk of:

A) pneumonia.
B) acne.
C) sun sensitivity.
D) asthma.

Question 10

A group of football players is taking oral griseofulvin for tinea pedis.The school nurse cautions that while they are taking this medication they should avoid:

A) citrus fruit and juice.
B) eating shellfish.
C) alcohol consumption.
D) taking corticosteroids.

Question 11

When teaching about general skin care measures that could help prevent acne,the nurse would include:

A) eliminating chocolate, peanuts, and cola from the diet.
B) washing the face with a cleansing product frequently.
C) planning indoor activities to avoid sun exposure.
D) eating a balanced diet and getting sufficient rest.

Question 12

On the first day following a severe burn,the body's fluid reserves have left the circulating volume and entered the interstitial space,causing massive edema.The nurse monitors the burn victim very closely for:

A) increasing intracranial pressure.
B) reduced urine output.
C) eschar formation.
D) fluid overload.

Question 13

When the nurse caring for a patient with severe frostbite observes a purple flush on the hands and feet,the nurse should:

A) report this sign immediately.
B) place a warm towel over the extremities.
C) gently sponge with cool water.
D) medicate for pain.

Question 14

A child had a burn evidenced by pink skin and blistering.The child complains of pain and is crying.The nurse documents the burn as:

A) first-degree.
B) second-degree superficial.
C) second-degree deep dermal.
D) third-degree.

Question 15

The nurse assesses a major burn as _____-thickness burn involving _____% of the body surface.

A) partial; 10
B) partial; 12
C) full; 20
D) full; 5

Question 16

What is the correct nursing response to a mother who asks,"How can I get rid of the baby's cradle cap?"

A) "Rub baby oil on the infant's head at night and shampoo the hair the next morning. "
B) "Use a brush with firm bristles to loosen the scales on the baby's head several times a day. "
C) "Wash the baby's head every night with a dandruff-control shampoo. "
D) "Lubricate the baby's head every morning with a small amount of olive oil. "

Question 17

The statement made by a parent indicating the need for further teaching about strategies to control itching for the infant with eczema is:

A) "Wool is the best fabric for the infant's clothing. "
B) "I should avoid laundry detergents with fragrances. "
C) "I put cotton gloves on the infant's hands. "
D) "The infant's fingernails are kept short. "

Question 18

Before the 17-year-old girl starts a protocol of isotretinoin (Accutane)for her acne,the nurse should suggest that she first:

A) get a prescription for oral contraceptives.
B) increase the dose of present medication.
C) limit intake of chocolate, cola, and peanuts.
D) increase exposure to sunlight.

Question 19

When the 2-day-old infant is noted to have small pustules on her skin,the nurse should:

A) report it immediately because it may be a staphylococcus infection.
B) keep the affected area dry and clean.
C) teach the parents how to care for seborrheic dermatitis.
D) chart the finding as it may be the beginning of a strawberry nevus.

Question 20

A mother is concerned about what might have caused a heat rash on her infant.The nurse observes tiny pinhead-sized reddened papules on the infant's neck and axilla.The nurse explains the cause of this rash is most likely:

A) sun exposure.
B) allergic reaction.
C) infection.
D) heat and moisture.

Question 21

The nurse stresses to the mother of a child with impetigo that:

A) the condition is caused by the herpes simplex virus type I.
B) the crusts on the lesions should be left in place.
C) the lesions may spread, but the disease is not contagious.
D) small cuts and bites should be treated promptly.

Question 22

A 5-year-old boy is brought to the emergency department with a second-degree burn of his entire right arm and hand,anterior trunk and genital area,and front of right thigh.The nurse assesses the body surface area (BSA)percentage burn as ______%.

Question 23

When the nurse observes a tarry stool from a 16-year-old burn victim who has been in the ICU for 2 weeks,the nurse documents and reports the probable complication of:

A) diverticulitis.
B) stress diarrhea.
C) Curling's ulcer.
D) perforated bowel.

Question 24

The nurse differentiates a type of topical medication that is an oil-based emulsion to be used on dry skin as a(n)_________________.

Question 25

The nurse is aware that which factor(s)activate the herpes simplex virus type I? Select all that apply.

A) Stress
B) Sun
C) Menses
D) Fever
E) Food allergies

Question 26

A child is brought to the emergency department with severe frostbite.The body parts that should be warmed first are:

A) hands and arms.
B) feet and legs.
C) fingers and toes.
D) head and torso.

Question 27

The nurse recognizes the characteristic circular hairless patches of tinea capitis,which is called _____________.

Question 28

The adolescent girl whose acne is being treated with an antibiotic in addition to topical applications is cautioned by the nurse to expect:

A) lessened effectiveness of oral contraceptives.
B) urinary burning and frequency.
C) breast engorgement.
D) vaginitis.

Question 29

An adolescent is at the pediatrician's office because he has been experiencing intense itching,particularly in the axilla and between the fingers.The itching is worse during the night and he has not been sleeping well.This symptom is associated with:

A) scabies.
B) pediculosis capitis.
C) tinea corporis.
D) eczema.

Question 30

What intervention(s)would the nurse preparing a teaching plan for the care of a child with infantile eczema include? Select all that apply.

A) Bathe the child using products with a light fragrance.
B) Use oatmeal and baking soda as bath additives.
C) Add bath oil to bath water after the child has soaked.
D) Apply lanolin-based lotions after the bath.
E) Bathe child several times a day.

Question 31

The nurse caring for a 3-year-old with severe burns is aware that the minimum adequate hourly urine output is _____ mL/hr.

A) 5
B) 10
C) 15
D) 20

Question 32

The nurse recognizes the blisters and erythema of the hands of a person recovering from frostbite as the skin disorder called _________________.

Question 33

To avoid diaper rash,what would the nurse teach parents? Select all that apply.

A) Use ointments.
B) Keep perineum covered at all times.
C) Use disposable diapers.
D) Avoid plastic bloomers or pants.
E) Change diaper frequently.

Question 34

A child is brought to the emergency department with burns on the face and chest.The nurse's first priority is:

A) assessing respiratory status.
B) administering pain medication.
C) removing clothing.
D) inserting a Foley catheter.

Question 35

The nurse speaking to a group of junior high school students informs them that acne can be exacerbated by which drug(s)? Select all that apply.

A) Steroids
B) Phenytoin
C) Phenobarbital
D) Aspirin
E) Oral contraceptives