Question 1

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

Accepted Answer

Scales may be softened by applying infant oil to the head the evening before, and shampooing the hair in the morning.

Question 2

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

Accepted Answer

A staphylococcal infection can spread readily from one infant to another. Small pustules on the newborn must be reported immediately.

Question 3

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

Accepted Answer

Frequent meals and snacks high in calories, protein, and iron are needed to meet the increased metabolic needs of the child with burns.

Question 4

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

Accepted Answer

A purple flush indicates the return of sensation and causes extreme pain.

Question 5

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

Accepted Answer

The prescribed amount of ointment is usually applied to the skin by a gloved hand in long, smooth strokes. Lanolin-based preparations should be avoided because of a possible allergy to wool.

Question 6

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:

Accepted Answer

A second-degree superficial burn appears blistered, moist, and pink or red. The pain associated with this burn indicates tissue viability.

Question 7

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

Accepted Answer

Oral contraceptives are often prescribed for adolescents with acne. Accutane can cause birth defects, so pregnancy should be prevented.

Question 8

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:

Accepted Answer

The child's skin has a dramatically greater ability to absorb than does that of the adult.

Question 9

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:

Accepted Answer

The strawberry nevus is a common hemangioma consisting of dilated capillaries in the dermal space, which may not become apparent for a few weeks after birth.

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:

Accepted Answer

Consumption of alcohol while taking griseofulvin will cause severe tachycardia.

Question 11

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

Accepted Answer

Combing a vinegar and water solution through the hair with a fine-tooth comb and then shampooing is an initial step toward eradication.

Question 12

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

Accepted Answer

The use of Silvadene cream on burns is contraindicated if the patient has a sulfa allergy.

Question 13

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:

Accepted Answer

With the fluid shift associated with severe burns, the nurse must be observant for the reduction of urine, an indication of altered renal function.

Question 14

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:

Accepted Answer

Miliaria, or prickly heat rash, is caused by excess body heat and moisture.

Question 15

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

Accepted Answer

First-aid treatment of a second-degree deep thermal burn is immersion of the burned area in water to halt the burning process.

Question 16

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

Accepted Answer

Absorption of topical medications is best when preparations are applied after a warm bath.

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:

Accepted Answer

Clothing should be made of cotton. Wool is avoided because of its allergy potential.

Question 18

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

Accepted Answer

General hygienic measures of cleanliness, rest, and avoidance of emotional stress may help prevent exacerbations.

Question 19

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

Accepted Answer

Some children with eczema also develop asthma and hay fever-type allergies.

Question 20

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

Accepted Answer

A full-thickness burn involving 10% or more of the body surface is considered a major burn.

Quiz 30: The Child with a Skin Condition