Question 1

The home health nurse discovers a family infected with pediculosis.What information can the nurse provide to the mother to start eradication of the lice?

Accepted Answer

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

Question 2

What should the nurse suggest before a 17-year-old girl starts a protocol of isotretinoin (Accutane)for her acne?

Accepted Answer

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

Question 3

A 2-day-old infant is noted to have small pustules on her skin.What is the best nursing action?

Accepted Answer

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

Question 4

A child is brought to the emergency department with burns on the face and chest.What is the nurse's first priority?

Accepted Answer

Airway assessment and establishing an airway are the initial priorities.

Question 5

What will the nurse include when teaching about general skin care measures that could help prevent acne?

Accepted Answer

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

Question 6

What is the appropriate technique for the application of a topical treatment for a child with eczema?

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 7

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 baby oil to the head the evening before,and shampooing the hair in the morning.

Question 8

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.What does the nurse recognize 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 9

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 10

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.What should the nurse monitor for very closely in the burn victim?

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 11

A group of football players is taking oral griseofulvin for tinea pedis.What should the school nurse caution them to avoid?

Accepted Answer

Consumption of alcohol while taking griseofulvin will cause severe tachycardia.

Question 12

What risk is increased with children who have been diagnosed with infantile eczema?

Accepted Answer

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

Question 13

The nurse caring for a patient with severe frostbite observes a purple flush on the hands and feet.What is the most appropriate nursing action?

Accepted Answer

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

Question 14

The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old infant.How is infant skin different from adult skin?

Accepted Answer

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

Question 15

Which allergy 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 16

A child has sustained a second-degree deep thermal burn to the hand.What is the best first action to take?

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 17

Which statement made by a parent indicates the need for further teaching about strategies to control itching for the infant with eczema?

Accepted Answer

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

Question 18

Which statement made by a parent indicates an understanding of the topical application of medications for a skin condition?

Accepted Answer

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

Question 19

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.What does the nurse explain as the most likely cause of this rash?

Accepted Answer

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

Question 20

A child had a burn,evidenced by pink skin and blistering.The child complains of pain and is crying.How does the nurse classify this burn when documenting?

Accepted Answer

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

Quiz 30: The Child With a Skin Condition