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T6 Skin
| Question | Answer |
|---|---|
| The nurse is taking care of a 7-year-old c with a skin rash papule. Which clinical finding should the nurse expect to assess | A lesion that is elevated, palpable, firm and circumscribed; less than 1 cm in diameter |
| The nurse is teaching nursing students about skin lesions. Which is an elevated, circumscribed skin lesion that is less than 1 cm in diameter and filled with serous fluid | Vesicle |
| The nurse is taking care of a 2-year-old child with a macule skin lesion. Which clinical finding should the nurse expect to assess with this type of lesion | Flat, brown mole less than 1 cm in diameter |
| A child steps on a nail and sustains a puncture wound of the foot. Which is the most appropriate method for cleansing this wound | Soak foot in warm water and soap. |
| Which nursing consideration is important when caring for a child with impetigo contagiosa | Carefully wash hands and maintain cleanliness when caring for an infected child. |
| The nurse is caring for a 5-year-old with impetigo The parents ask the nurse what will happen to their child’s skin after the infection has subsided and healed. Which answer should the nurse give | There will be no scarring. |
| Cellulitis is often caused by | Streptococcus or Staphylococcus organisms. |
| Lymphangitis (“streaking”) is frequently seen in which condition | Cellulitis |
| The nurse should expect to assess which causative agent in a child with warts | Virus |
| The nurse should implement which prescribed treatment for a child with warts | Local destruction |
| Herpes zoster is caused by the varicella virus and has an affinity for | posterior root ganglia and posterior horn of the spinal cord. |
| The nurse is taking care of a 7-year-old with HSV (type 1 or 2). Which prescribed medication should the nurse expect to include in the treatment plan | Oral antiviral agent |
| Tinea capitis (ringworm), frequently found in schoolchildren, is caused by | fungus. |
| The nurse is caring for a child with a tinea capitis (ringworm) infection. The nurse should expect that the therapeutic management for this child will include | administering oral griseofulvin. |
| Parents tell the nurse that their child keeps scratching the areas where he has poison ivy. The nurse’s response should be based on the knowledge that scratching the lesions | may cause them to become secondarily infected. |
| The nurse is taking care of a child with scabies. Which primary clinical manifestation should the nurse expect to assess with this disease | Pruritus |
| Which is usually the only symptom of pediculosis capitis (head lice) | Itching |
| The nurse is talking to the parents of a child with pediculosis capitis. Which should the nurse include when explaining how to manage pediculosis capitis | “You will need to remove nits with an extra-fine tooth comb or tweezers.” |
| The management of a child who has just been stung by a bee or wasp should include the application of | cool compresses. |
| A father calls the clinic nurse because his 2-year-old was bitten by a black widow spider. The nurse should advise the father to | Take child to emergency department. |
| A mother calls the ED nurse because her child was stung by a scorpion. The nurse should recommend | keeping the child quiet and coming to the ED |
| Rocky Mountain spotted fever is caused by the bite of a | tick. |
| What causes Lyme disease | a spirochete that enters the skin through a tick bite |
| The nurse is examining a 12-month-old for persistent diaper rash the RN finds perianal inflammation with satellite lesions that cross the inguinal folds this is most likely caused by | Candida albicans |
| The nurse is teaching a class on preventing diaper rash which statement made by a parent indicates correct understanding | “If my infant’s buttocks become slightly red, I will expose the skin to air.” |
| Which prescribed treatment should the nurse plan to implement for a child with psoriasis | Tar and exposure to sunlight and ultraviolet light |
| Atopic dermatitis (eczema) in the infant is associated with | allergy with a hereditary tendency |
| Nursing care of the infant with atopic dermatitis focuses on | preventing infection |
| Retin-A is a topical agent used to treat acne. Nursing considerations should include explaining that medication | should not be applied until at least 20 to 30 minutes after washing |
| When is isotretinoin (Accutane) indicated for the treatment of acne during adolescence | The acne has not responded to other treatments |
| A child experiences frostbite of the fingers after prolonged exposure to the cold. Which intervention should the nurse implement first | Rapid rewarming of the fingers by placing in warm water |
| Which best describes a full-thickness (third-degree) burn | Destruction of all layers of skin evident with extension into subcutaneous tissue |
| A child is admitted with extensive burns. The nurse notes that there are burns on the child’s lips and singed nasal hairs. The nurse should suspect that the child has a | inhalation injury |
| Which explains physiologically the edema formation that occurs with burns | Increased capillary permeability |
| The most immediate threat to life in children with thermal injuries is | shock |
| After the acute stage and during the healing process, the primary complication from burn injury is | infection |
| An adolescent girl is cooking on a gas stove when her bathrobe catches fire she has sustained major burns over her body. What is important in her immediate care | Remove her burned clothing and jewelry. |
| A young child has sustained a minor burn to the foot. Which is the recommended treatment | Cleanse the wound with a mild soap and tepid water. |
| A toddler sustains a minor burn on the hand from hot coffee. Which is the first action the nurse should recommend in treating this burn | Hold burned area under cool running water. |
| A parent of a child with major burns asks the nurse why a high-calorie and high-protein diet is prescribed | The diet will avoid protein breakdown. |
| Fentanyl and midazolam (Versed) are given before débridement of a child’s burn wounds. What is the purpose for these medications | Provide pain relief. |
| Nitrous oxide is given to a child with extensive burn injuries. the purpose of this medication is to | Provide anesthesia. |
| Hydrotherapy is required to treat a child with extensive partial-thickness burn wounds. What is the primary purpose of hydrotherapy | Débride the wounds. |
| A child with extensive burns requires débridement. The nurse should anticipate which priority goal r/t this procedure | Reduce pain |
| Biologic dressings are applied to a child with partial-thickness burns of the legs. Which nursing intervention should be implemented | Observing wounds for signs of infection |
| What is one of the first signs of overwhelming sepsis in a child with burn injuries | Disorientation |
| What is an effective strategy to reduce the stress of burn dressing procedures | Give child as many choices as possible |
| What is an important consideration for the nurse when changing dressings and applying topical medication to a child’s abdomen and leg burns | Wash hands and forearms before and after dressing change |
| A nurse is teaching a parent of an infant about treatment of seborrhea dermatitis (cradle cap). What should the nurse include in the instructions | Shampoo every day with an antiseborrheic shampoo |
| The nurse is teaching parents of toddlers about animal safety. What should be included in the teaching | Teach your toddler not to disturb an animal that is eating. |
| What four areas do the lesions of atopic dermatitis (eczema) most commonly occur in the infant | Cheeks, Extensor surfaces of arms and legs, Trunk, Scalp |
| The nurse is teaching a parent about eczema Which three responses should the RN reinforce | You’ll need to keep your infant’s skin well hydrated with a mild bath soap, You’ll need to prevent your baby from scratching the area by using a mild antihistamine, You should apply an emollient immediately after a bath |
| What three things should the nurse include when teaching parents about preventing child burn injuries | Keep hot liquids out of reach, Baby-proof electrical outlets, Test water temperature before placing the child in the bath |
| The nurse is teaching parents about prevention of head lice What three things should the nurse include in teaching | Dryclean nonwashable items, Boil brushes for 10 minutes, Discourage sharing of personal items |
Created by:
marcil21