peds exam 3
a child is dx with early disseminated lyme disease. the nurse informs the parents the child will most likely receive antibiotic therapy for which length of time?
14-28 days
the nurse is assessing a child who pulled a boiling pot of soup off of the stove top. the child reports pain at a 9/10. the burn is red and edematous, and also shows areas of charred skin. the nurse is aware that these s/s are indicative of what kind of burn?
full-thickness or third-degree
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 nurse is discussing acne vulgaris with a group of adolescents. the teenagers make the following statements regarding the topic. which statement is the most accurate regarding acne vulgaris?
"sometimes I get acne when I use my sister's makeup"
the parents of a 4-month-old dx with sepsis tell the nurse that the physician explained it to them but they don't really understand it. the parents state, "could you please explain it to us?" what is the best response by the nurse?
"the infection your child has causes the release of toxins into the system, which can lead to impaired function in the lungs, liver, and kidneys"
a nurse is caring for a child with a wasp sting. which nursing intervention is priority?
administer diphenhydramine per protocol
the nurse is caring for a 6-year-old brought into the ED 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
which child will the nurse identify as being at greatest risk for developing a hospital-acquired infection (HAI)?
an 18-month-old child receiving chemotherapy over 5 days
a child is hospitalized with burns over 25% of the body. the nurse is preparing to preform a dressing change. what aspect of changing the child's dressing is most important for the nurse to consider?
infection prevention
the nurse is assessing a child who presents with a hx of fever, malaise, fatigue, and headache. the nurse notes a bulls-eye rash on the child's right leg. which action will the nurse take?
notify the primary health care provider
the nurse is caring for a 16-year-old child with a dx of AIDS. what tx goal has the highest priority for this child?
preventing the spread of infection
a young child has just been admitted to the ED 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
an infant has presented at the clinic with impetigo. which organism usually causes impetigo in infants?
staph aureus
a child is admitted to the acute care facility with a burn injury. the nurse would check the child's immunization status, specifically for which of the following?
tetanus
the nurse is caring for an infant who has impetigo and is hospitalized. which nursing intervention is the highest priority for this child?
the nurse follows contact precautions
the nurse is caring for a child with burns. the child is scheduled to be discharged the following day, and the nurse is going over discharge instructions with the parents. after teaching the parents ab caring for the burn, the nurse determines that the teaching was successful when...
the parents state: "we need to soak the old dressing in tepid water just before we take it off"
what accurately depicts the hemodynamic changes that occur in the body within the first 24-48 hours after a burn?
hematocrit and WBC counts increase
the nurse is assessing a child who was brought into the clinic. the nurse notes honey-colored crusting on the child's face. the nurse recognizes this to be what type of infection?
impetigo
the nurse is caring for a 10-year-old male in a pediatric clinic with presenting sx of small circular patches of hair loss on the scalp. which skin condition does the child most likely have?
tinea capitis
which intervention is the most effective in treating an infected burn wound?
topical antibiotics applied to the wound site
the nurse is caring for a child admitted to the hospital for sepsis. which assessment finding is the most concerning?
urine output of 10 mL over 3 hours
a mother asks the nurse about bathing her child. which response by the nurse would be most appropriate?
use lukewarm water with a mild soap and allow the child to remain in the tub for a short time to avoid supersaturation
the nurse is taking a health hx for an 8-year-old boy who is hospitalized. which is a risk factor for sepsis in a hospitalized child?
use of immunosuppression drugs
the nurse is caring for a 13-year-old client who asks about acne prevention. which would be most appropriate for the nurse to suggest?
wash the face twice a day with a mild soap and then pat dry
the nurse is caring for a child with a second-degree (partial-thickness) burn. what assessment findings would the nurse expect to observe?
edema with wet, blistering skin
a pediatric client was brought to the ED by the parents after experiencing extensive urticaria after a seafood dinner. upon discharge from the facility the nurse provided client teaching. which statement by the nurse indicates that learning occurred?
"we need to get our child a medical alert bracelet asap in case this happens again"
the nurse is preparing an assessment guide for the ED staff regarding assessment of clients admitted with burn injuries. what should the nurse be sure to include in the assessment guide for primary emergency assessment of burns?
- airway assessment - presence of edema - pulse strength
when reviewing bathing habits for a child with dermatitis, which statements by the child's mother indicates the need for further instruction? select all that apply
- antibacterial soap will be helpful in preventing infections at the site of the rash - I should use the warmest water my child can tolerate during the bath
an adolescent is to receive topical retinoid therapy for their moderately severe acne. the nurse would instruct the adolescent about which adverse effects? select all that apply
- burning - photosensitivity - dryness
parents bring their 9-year-old into the clinic for a well-child visit. they are concerned because several children have developed Lyme disease and ask for suggestions on what to do to reduce their child's risk. what would be appropriate for the nurse to suggest? select all that apply
- inspecting the skin closely for ticks after the child plays in wooded areas - contacting the health care provider if there is any area of inflammation that may be a bite - wearing protective clothing when playing in wooded areas
the nurse is developing the POC for a 3-year-old child diagnosed with atopic dermatitis. which client outcomes are common focuses for a child with this dx? select all that apply
- promotion of skin hydration - maintenance of skin integrity - prevention of infection
a toddler pulled a hot cup of coffee off the table, causing first-degree (superficial) burns on the hands. the parent calls the clinic and asks what actions to take. how should the nurse respond? select all that apply
- quickly run cool water over the toddler's hands - cover the burns with a clean nonadhesive bandage - set up an appointment with the health care provider
which child will the nurse identify as at greatest risk for developing a UTI?
an 8-month-old bottle fed infant with HIV
the nurse is educating a parent about the tx for a child's tinea crutis. what medication would the nurse include in the teaching plan?
antifungal
in working with infants dx with atopic dermatitis, the nurse anticipates that when these children are older they will likely have a tendency to have which disorder?
asthma