Deck 58: The Child With Alterations in Skin Integrity

Question 1

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:

A)"We will give the griseofulvin with milk or peanut butter."
B)"We're glad ringworm isn't transmitted from person to person."
C)"Once the lesion is gone, we can stop the griseofulvin."
D)"Well, at least we don't have to worry about the family cat getting the ringworm."

Answer 1

"We will give the griseofulvin with milk or peanut butter."

Question 2

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?

A)"If my child wears bright colors and floral prints when outdoors, she will blend in with the surroundings, and the stinging insects will not sting her."
B)"We should remove any items with standing water from our yard and surrounding area to prevent mosquito reproduction."
C)"My child can use insect repellent containing DEET of 10% or less."
D)"My child should avoid heavy colognes, perfumes, and soaps so that insects are not attracted to them."

Answer 2

"If my child wears bright colors and floral prints when outdoors, she will blend in with the surroundings, and the stinging insects will not sting her."

Question 3

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

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

Answer 3

Administer analgesics.

Question 4

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

A)Applying antibiotics to lesions
B)Keeping the baby content
C)Maintaining adequate nutrition
D)Preventing infection of lesions

Question 5

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?

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

Question 6

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?

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

Question 7

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?

A)The wound is contracting, and the edges are growing together.
B)A blood clot has formed, sealing the wound.
C)Epithelial cells are growing into the wound.
D)The wound is pale and weepy.

Question 8

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)Contract the buttock muscles five times every two hours.
B)Increase fat in the diet to provide a protective coating over the boney prominences.
C)Do wheelchair push-ups every 15 to 30 minutes.
D)Avoid use of sheepskin as it prevents air from reaching the area.

Question 9

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

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

Question 10

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?

A)Altered tissue perfusion, risk for
B)Infection, risk for
C)Impaired physical mobility
D)Altered nutrition: less than body requirements, risk for

Question 11

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?

A)Measure the circumference of the extremity containing the bite every 20 to 30 minutes.
B)Assess immunization status.
C)Assess the need for emergency breathing interventions.
D)Assess neurovascular status and vital signs.
E)Assess pain and the child's response to pain medication.

Question 12

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?

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

Question 13

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

A)Topical antibiotics.
B)Intravenous antibiotics.
C)Incision and drainage.
D)Intravenous corticosteroids.

Question 14

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:

A)Wear 100% white cotton socks, changed twice a day.
B)Use talc on feet daily.
C)Use an over-the-counter corticosteroid cream to treat the area.
D)Wear foot covers such as flip flops in the locker room and shower.
E)Apply heat to the area twice a day.

Question 15

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?

A)Atopic dermatitis
B)Seborrheic dermatitis
C)Epidermolysis bullosa
D)Molluscum contagiosum
E)Psoriasis

Question 16

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

A)Apply the lotion over the entire body from the chin down, as well as on the scalp and forehead.
B)Apply the lotion only on the areas with evidence of scabies activity.
C)Apply the lotion only to the hands.
D)Apply the lotion to the scalp only.

Question 17

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

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

Question 18

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

A)Ineffective infant feeding pattern related to discomfort
B)Ineffective breathing pattern related to oral thrush
C)Activity intolerance related to oral thrush
D)Ineffective airway clearance related to mucus

Question 19

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?

A)"I shouldn't squeeze my blackheads or pimples."
B)"I need to watch my diet and cut out all chocolates."
C)"I should avoid applying drying materials, such as astringents, to my face"
D)"I should wash my hands frequently and avoid touching my face."