Deck 29: The Child With a Skin Condition

Question 1

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."

Answer 1

"I apply the medication after I give my child a bath."

Question 2

On the first day postburn 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

Answer 2

Reduced urine output

Question 3

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

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

Answer 3

Sulfa

Question 4

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 5

Which of the following 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.

Question 6

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

A) Port wine nevus
B) Strawberry nevus
C) Exanthum
D) Intertrigo

Question 7

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 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:

A) Less perfusion
B) Greater moisture
C) More perspiration
D) Greater absorption

Question 9

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 10

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

A) Eliminate chocolate, peanuts, and cola from the diet.
B) Wash the face with a cleansing product frequently.
C) Plan indoor activities to avoid sun exposure.
D) Eat a balanced diet, and get sufficient rest.

Question 11

Before the 17-year-old boy starts a protocol of Accutane for his acne, the nurse should instruct him to:

A) Get a prescription for oral contraceptives.
B) Increase the dose if his acne worsens.
C) Limit intake of chocolate, cola, and peanuts.
D) Increase exposure to sunlight.

Question 12

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 13

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

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 14

The nurse assesses a major burn as:

A) Partial-thickness burn involving 25% of the body surface
B) Partial-thickness burn involving 12% of the body surface
C) Full-thickness burn involving 20% of the body surface
D) Full-thickness burn involving 5% of the body surface

Question 15

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 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 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.

Question 18

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) Excessive exposure to the sun
B) Eating shellfish
C) Alcohol consumption
D) Taking corticosteroids

Question 19

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 baby's clothing."
B) "I should avoid laundry detergents with fragrances."
C) "I put cotton gloves on the baby's hands."
D) "The baby's fingernails are kept short."

Question 20

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 21

The nurse, speaking to a group of junior high school students, informs them that acne can be exacerbated by such drugs as: Select all that apply.

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

Question 22

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 23

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 24

To avoid diaper rash, the nurse would offer instruction to the parents to: Select all that apply.

A) Use emollients.
B) Expose perineum to light and air periodically.
C) Use disposable diapers frequently.
D) Avoid plastic pants.
E) Change diaper frequently.
F) None of the above

Question 25

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 BSA percentage burn as ____________________.

Question 26

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 27

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

Question 28

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 29

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 30

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