Question 1

Identify one or more choices that best complete the statement or answer the question.
-During an outside gym class, a high school student was stung on the lip by a bee. After determining that the student was not allergic to bee stings, which treatment should the school nurse recommend to soothe the sting? Select all that apply.

Accepted Answer

B) A paste of baking soda and water can neutralize bee venom, which is acidic, and may help reduce pain and swelling.C) Washing the area with cool water can help clean the wound, and applying ice can reduce swelling and numb the pain.D) An over-the-counter antihistamine can help manage symptoms like itching and swelling associated with the bee sting.

Question 2

Identify one or more choices that best complete the statement or answer the question.
-The school nurse is educating preschool parents about the management of lice infestation, which has currently become a problem among the students. Which recommendations should the nurse include in the caregiver education? Select all that apply.

Accepted Answer

B,C,D

Question 3

A teenager suffered second-degree burns of the face and hands while at a campfire that burned out of control. Emergency treatment is provided, and the patient is then admitted to a burn treatment center. Which nursing action should the nurse perform first?

Accepted Answer

Maintaining an adequate airway and oxygen supply is the first priority in the care of a burn patient, especially with burns to the face, due to the risk of airway compromise from swelling or inhalation injury.

Question 4

An eighth-grade student appears in the school infirmary with a skin manifestation that itches. He states that it began on the way to school after he took a shortcut through a field. The nurse performs a skin assessment and finds areas of erythema with streaks and patches on both legs. She determines that he is exhibiting signs of contact dermatitis. What is the first action that the nurse should take?

Accepted Answer

Washing the area thoroughly with soap and water is the first action to take in cases of contact dermatitis, especially when caused by an irritant like a plant, to remove any remaining allergen or irritant from the skin.

Question 5

Parents of a toddler with eczema are concerned about alleviating discomfort from itching and preventing infection, since constant scratching has been an issue. They ask the nurse what measures they can take to care for their child. The nurse creates a teaching sheet to provide information regarding the care of a patient with eczema. Which concept should the nurse include on the teaching?

Accepted Answer

The answer of Parents of a toddler with eczema are...

Question 6

A 15-month-old toddler has a strange rash on his nose and mouth. It contains papules and vesicles and has a honeylike, glazed look. The toddler has a history of eczema, but the nurse differentiates the features of the presenting rash and explains that he has developed a secondary infection. What is the treatment of choice for this type of dermatological disease?

Accepted Answer

The description of the rash as having papules, vesicles, and a honeylike, glazed look, especially in a child with a history of eczema, is indicative of impetigo. Impetigo is a bacterial infection, commonly caused by Staphylococcus aureus or Streptococcus pyogenes, that affects the skin. The most appropriate treatment for impetigo is the use of topical antibiotics until the skin is clear, to combat the bacterial infection.

Question 7

Identify one or more choices that best complete the statement or answer the question.
-The nurse is providing care for an 8-year-old child who was treated for a cat bite. Before discharging the child home, the nurse plans a play session, with the parents included, that focuses on safety around animals and pets in the home. What points would the nurse present during the session? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 8

Identify one or more choices that best complete the statement or answer the question.
-The nurse is preparing a home-care plan for a child whose leg wound cultured positive for MRSA. Which information should the nurse include? Select all that apply.

Accepted Answer

A) Sharing towels or personal items can spread MRSA to others. B) Proper hand hygiene is crucial in preventing the spread of MRSA. D) Using a disinfectant effective against MRSA on surfaces can help prevent its spread.

Question 9

A 6-month-old infant presents to the clinic with a diaper rash. The nurse observes a well-demarcated rash and satellite lesions on buttocks and legs. Based on the assessment, which treatment will the nurse recommend?

Accepted Answer

The presence of a well-demarcated rash with satellite lesions suggests a candidal (yeast) infection, which is effectively treated with antifungal medications such as nystatin (Mycostatin).

Question 10

An adolescent is brought to the health-care provider's office for evaluation of an arm lesion that is swollen, red, and warm. There is also a fluid weeping from the wound. The nurse should anticipate which test will most likely be ordered?

Accepted Answer

The presence of a swollen, red, and warm lesion with fluid weeping suggests an infection. A culture and sensitivity test of the fluid will help identify the causative organism and determine the most effective antibiotic treatment.

Question 11

A teenager is being cared for in the emergency department after being trapped in a garage fire at her home. Partial-thickness burns are present on the side of the face, as well as on both arms. Which nursing action is the highest priority?

Accepted Answer

The highest priority in the care of a patient with burns, especially involving the face, is to ensure that the airway is patent and that the patient is receiving adequate oxygenation. Giving 100% humidified oxygen helps to support respiratory function, which can be compromised in the presence of facial burns due to the risk of airway swelling and smoke inhalation.

Question 12

A 15-year-old male is very distressed about the skin problems on his face, neck, and back. He has whiteheads on his face and some blackheads. The nurse educates him about acne and designs a plan of care to use to treat and prevent skin eruptions. Which statement should the nurse include when teaching about skin care?

Accepted Answer

Chocolate and diet have not been conclusively linked to acne, and oil-based lotions can actually worsen acne by clogging pores. Squeezing whiteheads can lead to scarring and infection. Keeping hair clean and off the face can help prevent oil and dirt from clogging pores, which is beneficial for acne management.

Question 13

A 7-year-old with a myelomeningocele is paralyzed from the waist to her feet. She is either in bed or in a chair day and night. A physical evaluation is performed regularly to check skin integrity. While conducting a skin assessment, the nurse finds a partial-thickness skin loss with exposed dermis on the sacrum. How does the nurse classify this pressure ulcer on the assessment form?

Accepted Answer

A second-degree pressure ulcer is characterized by partial-thickness loss of skin with exposed dermis, which matches the description given. First-degree ulcers involve only the epidermis, deep tissue pressure ulcers are characterized by damage under intact skin, and unstageable ulcers have obscured depths due to necrotic tissue.

Question 14

An 86-month-old child is brought to the well-baby clinic for her immunizations. The nurse observes that the child's extremities are bright red, with a few blisters. The nurse questions the mother about the extent of sun exposure and determines that the child has a second-degree sunburn. After administering the immunization, the nurse provides education about sunburn prevention to the infant's mother. Which statement by the mother indicates that she needs more teaching?

Accepted Answer

Applying sunscreen right after getting to the pool indicates a need for more teaching because sunscreen should be applied at least 15 to 30 minutes before sun exposure to allow the skin to absorb it properly for effective protection.

Question 15

Identify one or more choices that best complete the statement or answer the question.
-The nurse educator of a burn unit is developing a counseling module for an adolescent who was burned in a house fire. Which of the following should be included in the discharge counseling for the adolescent and the adolescent's parents? Select all that apply.

Accepted Answer

Feelings of anxiety, guilt, and depression (A) are common emotional responses following traumatic events like burns. Post-traumatic stress often peaks immediately after the incident (C), and body image disturbances can persist long after the physical injuries have healed, even up to 2 years or more (E), making these important considerations for counseling.

Question 16

Identify one or more choices that best complete the statement or answer the question.
-A high school freshman visits the school nurse to ask how she can get rid of the warts on her hands. She is embarrassed what her friends will think if they notice them, and she fears spreading them to others. Which of the following should the nurse include in the plan of care? Select all that apply.

Accepted Answer

A) Plantar or palmar warts are indeed caused by the human papillomavirus (HPV), which is an important piece of information for understanding the nature of the condition. B) Hand hygiene is crucial in preventing the spread of warts to others and possibly to other parts of the body. E) Salicylic acid patches (like Duofilm) are a common and effective treatment for warts, suitable for use by individuals of all ages, including high school freshmen.

Question 17

A 5-year-old child is brought to the urgent care center for treatment of a bite. The nurse asks what happened, and the parent explains that the child disturbed their pet cat while it was sleeping. The cat was started and bit the child. Which intervention should the nurse perform first?

Accepted Answer

Washing the wound with large amounts of sterile saline under pressure is the first and immediate action to clean the wound and reduce the risk of infection.

Question 18

A junior high school student is cooking in the home economics room when some oil splashes on her fingers and hand. She immediately rinses her hand with cool tap water. The skin is not broken, but soon, a blister begins to form. The teacher sends the student to the school nurse for evaluation and treatment. Which nursing intervention is most appropriate?

Accepted Answer

Soaking the burn in cool water helps to reduce pain and heat from the burn area, and applying aloe vera cream can aid in the healing process due to its anti-inflammatory and soothing properties. Ice can cause further damage to the burned skin, puncturing the blister can introduce infection, and baby oil can trap heat in the burn.

Question 19

The clinical nursing instructor gives a lecture regarding maintenance of skin integrity while caring for a hospitalized child. Later, one of the nursing students is caring for a hospitalized child. Which action by the nursing student demonstrates that the teaching was effective?

Accepted Answer

Regularly changing the location of the pulse oximeter helps prevent skin breakdown and pressure sores, demonstrating effective teaching on maintaining skin integrity.

Question 20

A school nurse is examining a third-grade student complaining of a small lump on her head. After parting the hair, it is evident that a tick has embedded into the scalp. Which nursing intervention should the school nurse take?

Accepted Answer

The correct intervention for removing an embedded tick is to use tweezers or forceps, grasping the tick as close to the skin's surface as possible and pulling upward with steady, even pressure. This method helps ensure the tick is removed whole, reducing the risk of leaving parts of the tick embedded and minimizing the chance of transmitting diseases.

Quiz 21: Dermatological Diseases