Deck 31: Alterations in Skin Integrity

Question 1

A nurse is caring for a toddler client who is diagnosed with scabies and prescribed a 5 percent permethrin lotion. How will the nurse apply this lotion when administering it to the toddler?
1) To the scalp only
2) Over the entire body from the chin down, as well as on the scalp and forehead
3) Only on the areas with evidence of scabies activity
4) Only on the hands

Answer 1

2

Question 2

The nurse explains to the parents of a child with a severe burn that wearing of an elastic pressure garment (Jobst stocking) during the rehabilitative stage can help with the prevention of which complication?
1) Poor circulation
2) Hypertrophic scarring
3) Pain
4) Formation of thrombus in the burn area

Answer 2

2

Question 3

The nurse is providing education to the parents of a pediatric client who is diagnosed with tinea capitis (ringworm of the scalp). Which statement made the parents indicates an appropriate understanding of the teaching session?
1) "We will give the griseofulvin on an empty stomach."
2) "We're glad ringworm isn't transmitted from person to person."
3) "Once the lesion is gone, we can stop the griseofulvin."
4) "We will give the griseofulvin with milk or peanut butter."

Answer 3

4

Question 4

A 2-month-old client has a candidal diaper rash. Which medication does the nurse anticipate will be prescribed for this client?
1) Bacitracin ointment
2) Hydrocortisone ointment
3) Desitin
4) Nystatin given topically and orally

Question 5

The nurse is planning care for a 3-month-old infant diagnosed with eczema. Which should be the focus of the nurse's care for this infant?
1) Maintaining adequate nutrition
2) Keeping the baby content
3) Preventing infection of lesions
4) Applying antibiotics to lesions

Question 6

The nurse is providing care to a pediatric client who is diagnosed with psoriasis. Which clinical manifestations does the nurse anticipate upon assessment of this client? Select all that apply.
1) Thick, silvery, scaly erythematous plaque
2) Pruritus
3) Dry skin, likely to crack and fissure
4) Fragile skin and blisters
5) Irregular border surrounded by normal skin

Question 7

A pediatric client sustains a minor burn. When teaching the family the treatment for this burn, the nurse would teach that the client's diet should be high in which substance?
1) Fats
2) Protein
3) Minerals
4) Carbohydrates

Question 8

The nurse is providing care for a pediatric client who has a third-degree circumferential burn of the right arm. Which nursing diagnosis is the priority for this client?
1) Risk for Infection
2) Risk for Altered Tissue Perfusion
3) Risk for Altered Nutrition: Less than Body Requirements
4) Impaired Physical Mobility

Question 9

The nurse is teaching a group of students about wound healing. Which items will the nurse include as occurring during the hemostasis and inflammation stage of wound healing? Select all that apply.
1) Clot formation to seal the wound
2) Production of collagen and granulation tissue
3) Scar formation and strengthening
4) Release of inflammatory mediators by platelets
5) Swelling as a result of increased capillary permeability

Question 10

The nurse is caring for a pediatric client who sustained a severe burn. Determine the order of what would be done for this child when the medical team arrives on the scene: Response

A) Start intravenous fluids. Response
B) Provide for relief of pain. Response
C) Establish an airway. Response
D) Place a Foley catheter.

Question 11

An infant has a severe case of oral thrush (Candida albicans). Which nursing diagnosis is the priority for this infant?
1) Activity Intolerance Related to Oral Thrush
2) Ineffective Airway Clearance Related to Mucus
3) Ineffective Infant Feeding Pattern Related to Discomfort
4) Ineffective Breathing Pattern Related to Oral Thrush

Question 12

The adolescent is seen in the clinic for a consultation to treat severe acne. The adolescent has tried other medications, but the acne has not been responsive. The nurse knows that what medication is the most effective for this client with severe acne?
1) Oral contraceptives
2) Isotretinoin
3) Antibiotics
4) Benzoyl peroxide

Question 13

A child is prescribed cephalexin for treatment of cellulitis. The child weighs 15 kg.
The pediatrician orders: cephalexin 40 mg/kg/day PO, give twice a day.
Medication on hand: 250 mg/5 mL
Calculate how many mLs the nurse must draw up for each dose.

Question 14

The nurse is caring for a pediatric client diagnosed with eczema. Which topical medication order does the nurse anticipate for this client?
1) Corticosteroid
2) Retinoid
3) Antifungal
4) Antibacterial

Question 15

The nurse is providing teaching to a community group regarding preventative strategies to reduce the risk of burn injury. Which topics will the nurse include in the teaching session? Select all that apply.
1) Avoid contact with unknown animals and wild animals.
2) Layer children's clothing for warmth.
3) Keep infants and toddlers off the lap when drinking hot beverages or eating soup.
4) Lower the temperature settings for hot water heaters.
5) Wear light-colored clothes and avoid eating sweetened foods and beverages when outside.

Question 16

The nurse is examining a 12-month-old who is 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. What is the most likely cause of this client's diaper rash?
1) Impetigo (staph)
2) Candida albicans (yeast)
3) Urine and feces
4) Infrequent diapering

Question 17

During the recovery-management phase of burn treatment, which is the most common complication seen in children?
1) Shock
2) Metabolic acidosis
3) Burn-wound infection
4) Asphyxia

Question 18

The school nurse is conducting pediculosis capitis (head lice) checks. Which findings would indicate a "positive" head check?
1) White, flaky particles throughout the entire scalp region
2) Maculopapular lesions behind the ears
3) Lesions in the scalp that extend to the hairline or neck
4) White sacs attached to the hair shafts in the occipital area

Question 19

A pediatric client is hospitalized with a severe case of impetigo contagiosa. Which antibiotic does the nurse anticipate the healthcare provider will order for this client?
1) Dicloxacillin (Pathocil)
2) Rifampin (Rifadin)
3) Sulfamethoxazole and trimethoprim (Bactrim)
4) Metronidazole (Flagyl)

Question 20

The nurse is teaching a group of adolescents about care for acne vulgaris. Which interventions will the nurse include in the teaching session? Select all that apply.
1) Wash skin with mild soap and water twice a day.
2) Use astringents and vigorous scrubbing.
3) Avoid picking or squeezing the lesions.
4) Apply tretinoin (Retin-A) liberally.
5) Avoid sun exposure if on tetracycline.