Which of the following is an important nursing consideration when caring for a child with impetigo Contagiosa?

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Which nursing consideration is important when caring a child with impetigo Contagiosa?
What nursing intervention holds the highest priority in the initial care of a child with a major burn injury?
Which is usually the only symptom of pediculosis capitis?
Which primary clinical manifestation would the nurse expect to assess in a child with scabies?

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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

Which nursing consideration is important when caring a child with impetigo Contagiosa?

Children with impetigo should maintain good personal hygiene and avoid other children during the active outbreak. It is important to wash hands, linens, clothes and affected areas that may have come into contact with infected fluids. Sores can be covered with a bandage to help prevent spread by contact.

What nursing intervention holds the highest priority in the initial care of a child with a major burn injury?

Respiratory and fluid status remains highest priority. Assess peripheral pulses frequently for first few days after the burn for restricted blood flow. Closely observe hourly fluid intake and urinary output, as well as blood pressure and cardiac rhythm; changes should be reported to the burn surgeon promptly.

Which is usually the only symptom of pediculosis capitis?

What are the symptoms of pediculosis? Usually, the first indication of an infestation is the itching or scratching in the area of the body where the lice feed. Scratching at the back of the head or around the ears should lead to an examination for head louse eggs (nits) on the hair.

Which primary clinical manifestation would the nurse expect to assess in a child with scabies?

Pruritus. Severe itching (pruritus), especially at night, is the earliest and most common symptom of scabies.

Which of the following is an important nursing consideration when caring for a child with impetigo Contagiosa?

Which nursing consideration is important when caring a child with impetigo Contagiosa?

What nursing intervention holds the highest priority in the initial care of a child with a major burn injury?

Which is usually the only symptom of pediculosis capitis?

Which primary clinical manifestation would the nurse expect to assess in a child with scabies?

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