Deck 57: The Child With Alterations in Skin Integrity

Question 1

Which parental statement indicates to the nurse accurate understanding regarding the care of their child with tinea capitis (ringworm of the scalp)?
1) "We will give the griseofulvin with milk or peanut butter."
2) "We're glad ringworm isn't transmitted from person to person."
3) "Once the lesion is gone, we can stop the griseofulvin."
4) "Well, at least we don't have to worry about the family cat getting the ringworm."

Answer 1

1

Question 2

Which discharge instruction is appropriate for an adolescent client who is a paraplegic due to a motor vehicle accident, in order to prevent decubitus ulcer formation on the buttock?
1) Contract the muscles 5 times every 2 hours.
2) Increase fat in the diet to provide a protective coating over the bony prominences.
3) Do wheelchair push-ups every 15 to 30 minutes.
4) Avoid use of sheepskin, as it prevents air from reaching the area.

Answer 2

3

Question 3

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?
1) Pain
2) Hypertrophic scarring
3) Poor circulation
4) Formation of thrombus in the burn area

Answer 3

2

Question 4

Which adolescent statement regarding skin care and acne prevention would indicate the need for further education by the nurse?
1) "I shouldn't squeeze my blackheads or pimples."
2) "I need to watch my diet and cut out all chocolates."
3) "I should avoid applying drying materials, such as astringents, to my face"
4) "I should wash my hands frequently and avoid touching my face."

Question 5

Which should the nurse include in the plan of care for a child with a minor burn to enhance nutrition and healing?
1) Protein
2) Minerals
3) Carbohydrates
4) Fats

Question 6

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.
1) Atopic dermatitis
2) Seborrheic dermatitis
3) Epidermolysis bullosa
4) Molluscum contagiosum
5) Psoriasis

Question 7

Which is the priority intervention when planning care for an infant who is diagnosed with eczema?
1) Applying antibiotics to lesions
2) Keeping the baby content
3) Maintaining adequate nutrition
4) Preventing infection of lesions

Question 8

Which nursing action is accurate when applying a 5% permethrin lotion to a toddler with scabies?
1) Applying the lotion to the scalp, forehead, and everywhere below the chin
2) Applying the lotion only on the areas with evidence of activity
3) Applying the lotion only to the hands
4) Applying the lotion only to the scalp only

Question 9

Which parental statement regarding preventative strategies for insect bites and stings indicate the need for further education?
1) "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."
2) "We should remove any items with standing water from our yard and surrounding area to prevent mosquito reproduction."
3) "My child can use insect repellent containing DEET of 10% or less."
4) "My child should avoid heavy colognes, perfumes, and soaps so that insects are not attracted to them."

Question 10

Which is the priority nursing action when providing care to a child who is bitten by a snake?
1) Measuring the circumference of the extremity twice per hour
2) Monitoring respiratory status
3) Assessing vital signs
4) Evaluating response to pain medication

Question 11

Which is the priority nursing diagnosis when planning care for an infant who is diagnosed with a severe case of oral thrush (Candida albicans)?
1) Ineffective Infant Feeding Pattern related to discomfort
2) Ineffective Breathing Pattern related to oral thrush
3) Activity Intolerance related to oral thrush
4) Ineffective Airway Clearance related to mucus

Question 12

Which clinical therapy should the nurse anticipate when planning care for a toddler-age client who is admitted to the hospital unit with cellulitis of the neck?
1) Topical antibiotics
2) Intravenous antibiotics
3) Incision and drainage
4) Oral corticosteroids

Question 13

Which is the priority nursing intervention for a 4-year-old client brought to the emergency department (ED) for treatment of frostbite?
1) Administer analgesics.
2) Immerse the hands in extremely warm water (120°F).
3) Do not remove clothing.
4) Place the extremity in a dependent position.

Question 14

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?
1) Candida albicans (yeast)
2) Impetigo (staphylococcus)
3) Infrequent diapering
4) Urine and feces

Question 15

Which is the priority nursing diagnosis during the acute phase of a third-degree circumferential burn of the right arm for a pediatric client?
1) Altered Tissue Perfusion, Risk for
2) Infection, Risk for
3) Impaired Physical Mobility
4) Altered Nutrition: Less than Body Requirements, Risk for

Question 16

The 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 based on the current data?
1) Asphyxia
2) Metabolic acidosis
3) Shock
4) Wound infection

Question 17

Which finding noted by the school nurse while conducting pediculosis capitis (head lice) checks would indicate the need for treatment?
1) White, flaky particles throughout the entire scalp region
2) Lesions on the scalp that extend to the hairline or neck
3) Maculopapular lesions behind the ears
4) Silver/white sacs attached to the hair shafts in the occipital area

Question 18

Which preventative 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.
1) Wear 100% white cotton socks, changed twice a day.
2) Use talc on feet daily.
3) Use an over-the-counter corticosteroid cream to treat the area.
4) Wear foot covers such as flip flops in the locker room and shower.
5) Apply heat to the area twice a day.

Question 19

The 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 would the nurse expect to see while changing the child's dressing and assessing the wound?
1) The wound is contracting, and the edges are growing together.
2) A blood clot has formed, sealing the wound.
3) Epithelial cells are growing into the wound.
4) The wound is pale and weepy.

Question 20

A child had an appendectomy and was discharged home at 48 hours postoperative. A week later, the child is readmitted for delayed wound healing. Which causes of delayed wound healing will the nurse review prior to assessing the child? Select all that apply.
1) Infection
2) Predisposing chronic condition, such as diabetes
3) Hypervolemia
4) Inadequate nutrition
5) Hypoxemia

Question 21

Which topics should be included in a teaching session with parents of school-age children to prevent frostbite? Select all that apply.
1) Dressing in layers
2) Having extra clothing available
3) Removing wet gloves immediately
4) Applying sunscreen twice per day
5) Wearing sunglasses while outside

Question 22

Which topics should be included in a teaching session with parents of school-age children to prevent sunburn? Select all that apply.
1) Playing in the shade
2) Wearing a hat while outdoors
3) Restricting outside activities between 10 a.m. and 2 p.m.
4) Using sunscreen with an SPF of 30 or higher
5) Avoiding sunglasses

Question 23

Which interventions should the nurse include in the plan of care for a pediatric client who suffered a full-thickness burn injury to decrease the risk for infection? Select all that apply.
1) Using an age-appropriate assessment scale
2) Covering the affected skin as much as possible
3) Providing analgesics prior to wound care
4) Keeping the skin as clean and dry as possible
5) Clipping hair around the wound

Question 24

Which pain interventions should the nurse include in the plan of care for a pediatric client who suffered a full-thickness burn injury? Select all that apply.
1) Using an age-appropriate assessment scale
2) Covering the affected skin as much as possible
3) Providing analgesics prior to wound care
4) Keeping the skin as clean and dry as possible
5) Clipping hair around the wound

Question 25

Which adolescent statements indicate the need for further education related to the prevention and treatment of acne? Select all that apply.
1) "I should wash my face each day with an approved cleanser."
2) "I should wash my hands frequently and avoid touching my face."
3) "I should stay away from greasy foods, such as pizza."
4) "I should shampoo my hair only once per week."
5) "I should use my topical medication only when acne is present."