Peds Exam 2 Q's: integumentary
2. The nurse is doing an in-service training on clinical manifestations seen in communicable diseases. Which skin condition best describes erythema? Redness of the skin produced by congestion of the capillaries Small, circumscribed, solid elevation of the skin Discolored skin spot not elevated at the surface Small elevation of epidermis filled with a viscous fluid
A
A child in the clinic has a fever and reports a sore neck. Upon assessment the nurse finds a swollen parotid gland. The nurse suspects which infectious disease? Measles Mumps Whooping cough Scabies
B
The nurse is doing an in-service training on clinical manifestations seen in communicable diseases. Which best describes a macule? Redness of the skin produced by congestion of the capillaries Small, circumscribed, solid elevation of the skin Discolored skin spot not elevated at the surface Small elevation of epidermis filled with a viscous fluid
C
Parents usually ask when their child can return to school after having chickenpox. The correct answer would be: A. not until all lesions have completely faded. B as soon as the temperature is normal. C 10 days after the initial lesions appear. D as soon as all lesions are crusted.
D
The mother of a an 8-year-old boy with mumps tells the nurse that she does not understand how her son could have gotten mumps since he was immunized according to her physician's recommendations. What is the best response by the nurse? "I am sure it must be frustrating. Where did you have the immunizations performed?" "I am wondering if your physician followed the immunization schedule correctly?" "Are you sure your child received an immunization for mumps?" "While immunizations are highly effective they aren't 100% effective at preventing infectious diseases."
D
The nurse is caring for a school-age child with varicella. What should the nurse observe about the rash that is associated with this infection? Dark red color Noticeable crusts but no pruritus Dark red, macular, very pruritic lesions Various stages of lesions present at the same time
D
The nurse is providing teaching to the parents of a child with varicella. Which statement indicates that the parents have understood the instructions? "We should apply alcohol to the lesions every four hours." "If he has a fever, we can give him some aspirin." "The lesions should eventually form soft crusts that drain." "We need to make sure that he washes his hands frequently."
d
A child comes to the clinic for evaluation of skin lesions and is diagnosed with impetigo. Which medications are potentially ordered with instructions placed on the discharge summary? Select all that apply. A. Penicillin B. Erythromycin C. Mupirocin D. Tetracycline E. Lindane
ABC
The nurse is caring for a child admitted to the pediatric medical unit with chickenpox who has infected vesicles. What personal protective equipment should the nurse use when measuring the child's vital signs? Gloves Gown N95 respirator Face mask Eye wear
ABC
A nurse is teaching parents of a child with a nursing diagnosis of pain related to pruritus from skin lesions. Which of the following would the nurse include in the instructions? Select all that apply. "Keep the child's fingernails short." "Wrap your child up snugly with blankets." C. "Bathe the child in lukewarm water and baking soda." "Have the child press on the itching area instead of scratching it." "Avoid having your child wear cotton clothing."
ACD
A nurse is teaching parents about erythema infectiosum and describing the progression of the disease from earliest to latest. Place the following manifestations in the order in which the nurse would describe them. A. Intense red rash on the face B. Rash on the flexor surfaces of extremities and trunk C. Rash on extremity extensor surfaces D. Fever and headache E. Lace-like lesion appearance
ALL
A 15-year-old boy visits his primary care physician's office with fever, headache, and malaise, along with complaints of pain on chewing and pain in the jawline just in front of the ear lobe. The boy asks his mother to leave the exam room for a minute and then tells the nurse that he is also experiencing testicular pain and swelling. The nurse recognizes that this client most likely has which condition? Mumps Infectious mononucleosis Poliomyelitis Herpes zoster
A
A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug? That the infant's skin has greater permeability than that of an adult That there is less body surface area to be concerned about. That there is decreased absorption rates of topical drugs in infants. That there is a lower concentration of water in an infant's body compared with an adult.
A
The mother of a 10-year-old child diagnosed with rubella asks what can be done to help her child feel better during her illness. What information can be provided? Encourage rest and relaxation. Antibiotic therapy may be initiated. Antiviral medications can be prescribed. Range of motion to prevent contractures.
A
The nurse is teaching a group of parents about head lice. Which statement is essential to include during the presentation? Head lice are becoming very resistant to treatment. Send your child to school even if you suspect head lice, but have the school nurse check the child. Discourage the children from going to sleepovers. Wash the bed linens in hot water to kill the lice.
A
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." "We can give him aspirin for fever." C. "We should put him in a warm bath if he is itchy." D. "We can use salt solutions to help heal his oral lesions."
A
The parent of a child with mumps on one side of the face is concerned that the disease can develop on the other side in the future. How should the nurse respond to the mother about this concern? The child is immune to further attacks of the disease. It does not matter because mumps in adulthood is not serious. The child should receive active immunization against mumps. There is nothing that can be done to prevent another attack of mumps in the future.
A
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? "I can't believe it. We're not unclean, poor people." "We'll have to get that special shampoo." "Everybody in the house will need to be checked." "That explains his complaints of itching on his neck."
A
The nurse is evaluating outcomes for teaching provided to the mother of a school-age child with an itchy rash. Which outcome indicates that teaching has been effective? Mother applies hot compresses to itchy skin areas every few hours Child drinks a glass of water every 1 to 2 hours throughout the day Child showers in hot water and uses soap on the rash every morning Child wearing long denim pants and a long-sleeve shirt while playing outside
B
The nurse is educating parents of a child admitted to the hospital with rubella (German measles). Which statement by the parents indicates the further education is needed? "Our child is contagious for 1 week after the rash appeared." "Acetaminophen or ibuprofen can be given to help with pain." "Antibiotics are needed to help our child recover from rubella." "Family members should wear a mask when coming to visit us."
C
