Deck 49: The Child With an Alteration in Tissue Integrity

Question 1

What should the nurse teach an adolescent who is taking tretinoin (Retin-A)to treat acne?

A) The medication should be taken with meals.
B) Apply sunscreen before going outdoors.
C) Wash with benzoyl peroxide before application.
D) The effect of the medication should be evident within 1 week.

Answer 1

Apply sunscreen before going outdoors.

Question 2

To assess the child with severe burns for adequate perfusion,the nurse monitors

A) Distal pulses
B) Skin turgor
C) Urine output
D) Mucous membranes

Answer 2

Urine output

Question 3

What procedure is contraindicated in the care of a child with a minor partial-thickness burn injury wound?

A) Cleaning the affected area with mild soap and water
B) Applying antimicrobial ointment to the burn wound
C) Changing dressings daily
D) Leaving all loose tissue or skin intact

Answer 3

Leaving all loose tissue or skin intact

Question 4

An important nursing consideration when caring for a child with impetigo contagiosa is to

A) Apply topical corticosteroids to decrease inflammation.
B) Carefully remove dressings so as not to dislodge undermined skin, crusts, and debris.
C) Carefully wash hands and maintain cleanliness when caring for an infected child.
D) Examine child under a Wood lamp for possible spread of lesions.

Question 5

What nursing assessment and care holds the highest priority in the initial care of a child with a major burn injury?

A) Establishing and maintaining the child's airway
B) Establishing and maintaining intravenous access
C) Inserting a catheter to monitor hourly urine output
D) Inserting a nasogastric tube into the stomach to supply adequate nutrition

Question 6

The skin condition commonly known as "warts" is the result of an infection by which organism?

A) Bacteria
B) Fungus
C) Parasite
D) Virus

Question 7

When changing an infant's diaper,the nurse notices small bright red papules with satellite lesions on the perineum,anterior thigh,and lower abdomen.This rash is characteristic of

A) Primary candidiasis
B) Irritant contact dermatitis
C) Intertrigo
D) Seborrheic dermatitis

Question 8

When taking a history on a child with a possible diagnosis of cellulitis,what should be the priority nursing assessment to help establish a diagnosis?

A) Any pain the child is experiencing
B) Enlarged, mobile, and nontender lymph nodes
C) Child's urinalysis results
D) Recent infections or signs of infection

Question 9

The process of burn shock continues until what physiologic mechanism occurs?

A) Heart rate returns to normal.
B) Airway swelling decreases.
C) Body temperature regulation returns to normal.
D) Capillaries regain their seal.

Question 10

The depth of a burn injury may be classified as

A) Localized or systemic
B) Superficial, superficial partial thickness, deep partial thickness, or full thickness
C) Electrical, chemical, or thermal
D) Minor, moderate, or major

Question 11

What should be included in teaching a parent about the management of small red macules and vesicles that become pustules around the child's mouth and cheek?

A) Keep the child home from school for 24 hours after initiation of antibiotic treatment.
B) Clean the rash vigorously with Betadine three times a day.
C) Notify the physician for any itching.
D) Keep the child home from school until the lesions are healed.

Question 12

Impetigo ordinarily results in

A) No scarring
B) Pigmented spots
C) Slightly depressed scars
D) Atrophic white scars

Question 13

The pediatric nurse understands that cellulitis is most often caused by

A) Herpes zoster
B) Candida albicans
C) Human papillomavirus
D) Streptococcus or Staphylococcus organisms

Question 14

What should the parents of an infant with thrush (oral candidiasis)be taught about medication administration?

A) Give nystatin suspension with a syringe without a needle.
B) Apply nystatin cream to the affected area twice a day.
C) Give nystatin before the infant is fed.
D) Swab nystatin suspension onto the oral mucous membranes after feedings.

Question 15

Parents of a child with lice infestation should be instructed carefully in the use of antilice products because of which potential side effect?

A) Nephrotoxicity
B) Neurotoxicity
C) Ototoxicity
D) Bone marrow depression

Question 16

Which nursing assessment is applicable to the care of a child with herpetic gingivostomatitis?

A) Comparison of range of motion for the upper and lower extremities
B) Urine output, mucous membranes, and skin turgor
C) Growth pattern since birth
D) Bowel elimination pattern

Question 17

What best describes a full-thickness (third-degree)burn?

A) Erythema and pain
B) Skin showing erythema followed by blister formation
C) Destruction of all layers of skin evident with extension into subcutaneous tissue
D) Destruction injury involving underlying structures such as muscle, fascia, and bone

Question 18

Which statement made by a parent indicates an understanding about the management of a child with cellulitis?

A) "I am supposed to continue the antibiotic until the redness and swelling disappear."
B) "I have been putting ice on my son's arm to relieve the swelling."
C) "I should call the doctor if the redness disappears."
D) "I have been putting a warm soak on my son's arm every 4 hours."

Question 19

When assessing the child with atopic dermatitis,the nurse should ask the parents about a history of

A) Asthma
B) Nephrosis
C) Lower respiratory tract infections
D) Neurotoxicity

Question 20

With what beverage should the parents of a child with ringworm be taught to give griseofulvin?

A) Water
B) A carbonated drink
C) Milk
D) Fruit juice

Question 21

A nurse is instructing parents on treatment of pediculosis (head lice).Which should the nurse include in the teaching plan? Select all that apply.

A) Bedding should be washed in warm water and dried on a low setting.
B) After treating the hair and scalp with a pediculicide, shampoo the hair with regular shampoo.
C) Retreat the hair and scalp with a pediculicide in 7 to 10 days.
D) Items that cannot be washed should be dry cleaned or sealed in plastic bags for 2 to 3 weeks.
E) Combs and brushes should be boiled in water for at least 10 minutes.

Question 22

Rocky Mountain spotted fever is caused by the bite of a

A) Flea
B) Tick
C) Mosquito
D) Mouse or rat

Question 23

A child experiences frostbite of the fingers after prolonged exposure to the cold.Which intervention should the nurse implement first?

A) Rapid rewarming of the fingers by placing in warm water
B) Placing the hand in cool water
C) Slow rewarming by wrapping in warm cloth
D) Using an ice pack to keep cold until medical intervention is possible

Question 24

The primary clinical manifestation of scabies is

A) Edema
B) Redness
C) Pruritus
D) Maceration

Question 25

A father calls the clinic nurse because his 2-year-old child was bitten by a black widow spider.The nurse should advise the father to

A) Apply warm compresses.
B) Carefully scrape off stinger.
C) Take child to emergency department.
D) Apply a thin layer of corticosteroid cream.

Question 26

A new mother calls the pediatrician's office concerned because her newborn has developed a salmon colored,irregularly shaped spot between the eyes.The lesion becomes darker when the baby is crying.This skin lesion is called a(n)____________.

Question 27

Treatment for herpes simplex virus (types 1 or 2)includes

A) Corticosteroids
B) Oral griseofulvin
C) Oral antiviral agent
D) Topical and/or systemic antibiotic

Question 28

A nurse is teaching parents about prevention of diaper dermatitis.Which should the nurse include in the teaching plan? Select all that apply.

A) Clean the diaper area gently after every diaper change with a mild soap.
B) Use a protective ointment to clean dry intact skin.
C) Use a steroid cream after each diaper change.
D) Use rubber or plastic pants over the diaper.
E) Wash cloth diapers in hot water with a mild soap and double rinse.

Question 29

Ringworm,frequently found in schoolchildren,is caused by a(n)

A) Virus
B) Fungus
C) Allergic reaction
D) Bacterial infection

Question 30

The primary treatment for warts is

A) Vaccination
B) Local destruction
C) Corticosteroids
D) Specific antibiotic therapy

Question 31

A mother calls the emergency department nurse because her child was stung by a scorpion.The nurse should recommend

A) Administering antihistamine
B) Cleansing with soap and water
C) Keeping child quiet and come to emergency department
D) Removing stinger and apply cool compresses

Question 32

The management of a child who has just been stung by a bee or wasp should include the application of

A) Cool compresses
B) Warm compresses
C) Antibiotic cream
D) Corticosteroid cream

Question 33

Electric injury to a child often results in instant death because the electric current disrupts the rhythm of the heart.Is this statement true or false?

Question 34

Where do the lesions of atopic dermatitis most commonly occur in the infant? Select all that apply.

A) Cheeks
B) Buttocks
C) Extensor surfaces of arms and legs
D) Back
E) Trunk