Chapter 41: The Child with an Integumentary Disorder/Communicable Disease
The nurse is caring for a 6-year-old child brought into the emergency department for burns from a house fire. The nurse notes burn areas surrounding the client's nose and mouth upon initial assessment. Which priority complication should the nurse be alert for?
Airway obstruction related to upper respiratory swelling
The nurse is providing teaching to the parents of a child with varicella. Which statement indicates that the parents have understood the instructions?
"We need to make sure that he washes his hands frequently."
The nurse is providing education to an adolescent client diagnosed with tinea pedis. Which statement will the nurse include in the teaching?
"Be sure to dry the area between your toes really well."
An adolescent is prescribed isotretinoin. Which statement indicates that the adolescent understands the necessary precautions associated with this drug?
"I have to make sure that I do not become pregnant while taking this drug."
The nurse is teaching parents about the care of diaper rash. The nurse would be concerned about the parents' level of understanding if they made which statement?
"I should be certain to use fabric softener in the care of the infant's clothes."
The school nurse has diagnosed a case of head lice in a first grader at school. After receiving a phone call from the nurse, the parent arrives in the clinic to take the student home. The school nurse hands the parent a document about lice and verbally reinforces the treatment for lice. Which of the following parental statements demonstrates proper learning has occurred?
"I will treat my child with a pediculicidal shampoo, remove the nits, and then clean my house."
The nurse is teaching the parents of a child with varicella about the disorder. The nurse determines that the teaching was successful when the parents state which of the following?
"We will make sure to remind him not to scratch the lesions."
A nurse is teaching a community class on preventing lyme disease. The nurse determines that the teaching was successful when the group makes which statement?
"When in the woods, we should wear jeans and tuck them inside our socks."
The parents of a 5-year-old have just found out that their child has head lice. Which statement by the parents would support the nursing diagnosis of deficient knowledge?
A) "I can't believe it. We're not unclean, poor people."
The nurse is caring for a child with burns in a pediatric hospital. What would be an appropriate nursing diagnosis for this client?
Acute pain related to thermal injuries and procedures
After teaching the parents of a child with chickenpox (varicella zoster), the nurse determines that the parents have understood the teaching when they state that their child can return to school at which time?
After the lesions have crusted
The rash in roseola is pruritic. Which measure would you teach the parent to provide comfort?
Apply cool compresses to the skin to stop local itching.
When describing measles to a local parent group, the nurse explains that which of the following is the hallmark clinical manifestation?
Koplik spots
A mother brings her 8-year-old son for evaluation because of a rash on his lower leg. Which finding would support the suspicion that the child has Lyme disease?
Playing in the woods about a week ago
A nurse completes an assessment on an 8-month-old infant seen in the pediatrician's office for a well-child visit. The nurse notes that the infant's buttocks, perineum and inner thighs are covered in a thick coating of white ointment. When questioned, the parent says the infant has a diaper rash and the ointment is to protect the infant's skin. What is the best action for the nurse to take?
Provide instruction on how to care for a diaper rash.
A young child has just been admitted to the emergency department with a burn that encompasses the epidermis and the underlying dermis. From which type of burn does this child suffer?
Second-degree or partial-thickness burn
A nurse is teaching a group of parents about hepatitis A viral infection. The nurse would describe which of the following as the route of transmission?
fecal-oral
A 6-year-old child is brought to the clinic by his parents. The parents state, "He had a sore throat for a couple of days and now his temperature is over 102°F (38.9°C). He has this rash on his face and chest that looks like sunburn but feels really rough." What would the nurse suspect?
scarlet fever
The nurse is presenting a program on HIV and children for nursing students. The nurse determines that more teaching is needed when the students identify which of the following as a mode of transmission?
skin contact
