Exam 58: The Child With Alterations in Skin Integrity

The nurse is examining a 12-month-old who was brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with bright red, scaly plaques and small papules. Satellite lesions are also present. This is most likely caused by which of the following?

The nurse is planning care for a three-month-old infant with eczema. Which intervention would take top priority in this infant's care?

The clinic nurse has completed teaching the teenager about skin care and acne prevention. Which statement by the teenager indicates the need for additional teaching?

Following an automobile accident, a teenager is left paraplegic. The child is being prepared for discharge. The nurse is reviewing instructions to avoid decubitus ulcers on the buttocks and instructs the teenager to:

A child has sustained a minor burn. Which of the following should be included in increased amounts in the child's diet?

A three-year-old is admitted to the hospital unit with cellulitis of the neck. The nurse will expect medical treatment to include:

The school nurse is conducting pediculosis capitis (head lice) checks. Which finding would indicate a "positive" head check?

Parents understand the teaching a nurse has done with regard to care of their child with tinea capitis (ringworm of the scalp) if they state:

While preparing for the day in the integument clinic, the nurse notices that a number of the patients being seen that day have conditions with a genetic component. Which skin conditions have a genetic or inherited component?

An infant has a severe case of oral thrush (Candida albicans). Which is the priority nursing diagnosis for this infant?

A nurse is applying a 5% permethrin lotion to a toddler with scabies. Which instruction describes the best way to apply this lotion?

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?

The nurse is teaching strategies to prevent insect bites and stings to the parents of a small child. Which statement made by the parents indicates a need for further teaching?

Which nursing intervention would be appropriate in providing care for a 4-year-old brought to the Emergency Department for treatment of frostbite?

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?

The toddler pulled a pot of boiling water off the stove and suffered partial and full thickness burns to the chest. EMS arrived, stabilized the child, and transported him to the hospital burn unit. The child is now in the recovery-management phase of burn treatment. Which is the most common complication seen in this period?

There has been an outbreak of tinea pedis among the high school football team. The school nurse meets with the team and discusses preventative activities to reduce spread of the organism. The nurse will instruct the team members to:

Nursing care of the child with a snake bite involves assessment of the child for initial and progressive signs of envenomation. Which is the priority nursing action at this time?

Which would be the priority nursing diagnosis during the acute phase of burn injury for a child who has a third-degree circumferential burn of the right arm?