Deck 59: The Child With Alterations in Skin Integrity

Question 1

A nurse is applying a 5% permethrin lotion to a toddler with scabies.How should the nurse apply the lotion?

A)To the scalp only
B)Over the entire body,from the chin down,as well as the scalp and forehead
C)Only on the areas with evidence of scabies activity
D)Only on the hands

Answer 1

Over the entire body,from the chin down,as well as the scalp and forehead

Question 2

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 with the prevention of which problem?

A)Poor circulation
B)Hypertrophic scarring
C)Pain control
D)Formation of thrombus in the burn area

Answer 2

Hypertrophic scarring

Question 3

Which is 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?

A)Risk for infection
B)Risk for altered tissue perfusion
C)Risk for altered nutrition: less than body requirements
D)Impaired physical mobility

Answer 3

Risk for altered tissue perfusion

Question 4

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

A)Immerse the hands in extremely warm water (120°F).
B)Do not remove clothing.
C)Place the extremity in a dependent position.
D)Administer analgesics.

Question 5

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.Which of the following is the most likely cause?

A)Impetigo (staph)
B)Candida albicans (yeast)
C)Urine and feces
D)Infrequent diapering

Question 6

A child has sustained a minor burn.The nurse should teach the family that the child's diet should be high in which type of food?

A)Fats
B)Protein
C)Minerals
D)Carbohydrates

Question 7

The school nurse is conducting pediculosis capitis checks.Which of the following describes how a child with a "positive" head check would present?

A)White,flaky particles throughout the entire scalp region
B)Maculopapular lesions behind the ears
C)Lesions in the scalp that extend to the hairline or neck
D)White sacs attached to the hair shafts in the occipital area

Question 8

The nurse is teaching a group of adolescents about care for acne.The nurse should include which actions? Select all that apply.

A)Wash skin with mild soap and water twice a day.
B)Use astringents and vigorous scrubbing.
C)Avoid picking or squeezing the lesions.
D)Apply tretinoin (Retin-A)liberally.
E)Avoid sun exposure if on tetracycline.

Question 9

A child has been hospitalized with a severe case of impetigo contagiosa.What antibiotic(s)should the nurse expect to be prescribed?

A)Dicloxacillin (Pathocil)
B)Rifampin (Rifadin)
C)Sulfamethoxazole and trimethoprim (Bactrim)
D)Metronidazole (Flagyl)

Question 10

Parents demonstrate that they understand the teaching a nurse has done with regard to care of their child with tinea capitis if they make which statement?

A)"We will give the griseofulvin on an empty stomach."
B)"We're glad ringworm isn't transmitted from person to person."
C)"Once the lesion is gone,we can stop the griseofulvin."
D)"We will give the griseofulvin with milk or peanut butter."

Question 11

Nursing interventions would include use of which medication for a child with eczema?

A)Hydrocortisone ointment 1%
B)Nystatin topical ointment
C)Lotrimin ointment
D)Silvadene cream

Question 12

During the recovery/management phase of burn treatment,which is the most common complication seen in children?

A)Shock
B)Metabolic acidosis
C)Burn wound infection
D)Asphyxia

Question 13

A child has sustained a severe burn.When the medical team arrives on the scene,which is the highest priority for this child at this time?

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

Question 14

An infant,age 2 months,has a candidal diaper rash.Which of the following is the medication the nurse will most likely give this infant?

A)Bacitracin ointment
B)Hydrocortisone ointment
C)Desitin
D)Nystatin given topically and orally

Question 15

A nurse is assessing a pressure ulcer in a pediatric client.The ulcer appears as a deep crater into the subcutaneous tissue,but does not extend to the adjacent muscle,bone,or supporting tissue.As what stage would this nurse classify the ulcer?

A)Stage 1
B)Stage 2
C)Stage 3
D)Stage 4