Peds skin

The nurse is administering the first hepatitis A vaccine to an 18-month-old child. When should the child return to the clinic for the second dose of hepatitis A vaccination? a. After 2 months b. After 3 months c. After 4 months d. After 6 months

D

The nurse is administering the first hepatitis A vaccine to an 18-month-old child. When should the child return to the clinic for the second dose of hepatitis A vaccination? a.After 2 months b.After 3 months c.After 4 months d.After 6 months

D

The nurse is assessing a child suspected of having pinworms. Which is the most common symptom the nurse expects to assess? a. Restlessness b. Distractibility c. Rectal discharge d. Intense perianal itching

D

The nurse is preparing to administer a measles, mumps, rubella, and varicella (MMRV) vaccine. Which is a contraindication associated with administering this vaccine? a.The child has recently been exposed to an infectious disease. b.The child has symptoms of a cold but no fever. c.The child is having intermittent episodes of diarrhea. d.The child has a disorder that causes a deficient immune system.

D

The nurse is teaching a nursing student about standard precautions. Which statement made by the student indicates a need for further teaching? a."I will use precautions when I give an infant oral care." b."I will use precautions when I change an infant's diaper." c."I will use precautions when I come in contact with blood and body fluids." d."I will use precautions when administering oral medications to a school-age child."

D

What often causes cellulitis? a. Herpes zoster b. Candida albicans c. Human papillomavirus d. Streptococci or staphylococci

D

What should the nurse explain about ringworm? a. It is not contagious. b. It is a sign of uncleanliness. c. It is expected to resolve spontaneously. d. It is spread by both direct and indirect contact.

D

Which is described as an elevated, circumscribed skin lesion that is less than 1 cm in diameter and filled with serous fluid? a.Cyst b.Papule c.Pustule d.Vesicle

D

A mother brings in her 4-year-old daughter to be evaluated for a rash all over her torso. The mother states that the 4 year old was recently around her grandmother, who is presently recovering from shingles. The mother is now concerned that the child has contracted shingles. Which of the following would be an appropriate response by the nurse to the mother? 1. "It is possible that she has contracted shingles from her grandmother." 2. "She has contracted chickenpox since both diseases are from the same virus." 3. "She can only get shingles from someone who has chickenpox." 4. "This rash does follow the normal pattern along a dermatome or particular nerve fiber."

1

A new mother contacts the health-care provider's office to ask for guidance regarding a change in the infant's health. For which reason should the nurse direct the mother to seek immediate medical attention? 1. Difficult to arouse 2. Wetting six diapers a day 3. Breastfeeding every 3 hours 4. Sleeping for several hours in the afternoon

1

A parent arrives at the family clinic seeking medical attention for his 14-year-old child. The childhas a fever, malaise, nausea, and abdominal pain. Which finding should indicate to the nurse that the patient is experiencing hepatitis A? 1. Elevated serum bilirubin 2. Greater than 10% atypical lymphocytes 3. Presence of the virus in nasal secretions 4. Positive Paul-Bunnell heterophile antibody test

1

The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) and American College of Obstetricians and Gynecologists has recommended that pregnant adolescents and women who are not protected against pertussis receive the tetanus, diphtheria and pertussis (Tdap) vaccine optimally at which of the following times? 1. Between 27 and 36 weeks of gestation or postpartum before discharge from the hospital 2. During the first pre-natal visit when pregnancy is confirmed 3. The vaccine should be administered 24 hours prior to delivery 4. This vaccine is only recommended during the first trimester

1

The hepatitis A vaccine is now recommended at which of the following ages? 1. 1 year 2. 1 month 3. 12 years 4. It is not recommended at any age.

1

The nurse is caring for a 15-year-old patient who has been diagnosed with mononucleosis. The patient asks how the infection was obtained. Which information should the nurse include when responding to the patient? 1. Drinking from the cup of a person with the infection 2. Eating contaminated food 3. Eating meat that is undercooked 4. Inhaling airborne germs, such as after someone coughs

1

The nurse is caring for a school-age patient diagnosed with hepatitis A. For which reason should the nurse begin implementing contact precautions for this patient? 1. Incontinent of feces 2. Evidence of dehydration 3. Development of dark urine 4. Severe nausea and vomiting

1

The nurse is preparing to debride partial-thickness burn wounds on a school-age child's lower extremities. Which should the nurse use to manage this client's pain? 1.Opioid 2.Ibuprofen 3.Acetaminophen 4.Virtual reality imaging

1

The nurse provides teaching to a preadolescent client with acne. Which client statement indicates that teaching has been effective? 1. "I need to keep my hair off of my face." 2. "I should apply makeup that contains oil." 3. "I should wash my face with a strong soap." 4. "I can squeeze the smaller pimples after washing my hands."

1

Which of the following should be considered in the administration of the influenza vaccine? 1. The vaccine is contraindicated for individuals who are allergic to eggs or egg products. 2. The Live Attenuated Influenza Virus (LAIV) is a safe alternative for children of any age. 3. The influenza vaccine is contraindicated in children with asthma and wheezing within the past12 months. 4. Since influenza has a bimodal seasonal pattern, children under 18 years of age should receive two doses of the vaccine.

1

Which clinical manifestations in a patient with a burn would need priority nursing interventions? 1. A child exhibiting increased redness, warmth and swelling at the site of the burn 2. A child who is demonstrating decreased urinary output 3. A child with pain score of 10 out of 10 4. A child with increased itching at the burn site

2

Which of the following is the appropriate site to administer an intramuscular (IM) vaccine to a newborn? 1. The dorsal gluteal muscle 2. The vastus lateralis muscle 3. The ventral gluteal muscle 4. The biceps muscle

2

A parent brings her school-age child to the physician's office for evaluation of a sore throat, fever, headache, and fine red rough rash over both arms and abdomen. For which health problem should the nurse plan care for this patient? 1. Croup 2. Tonsillitis 3. Epiglottitis 4. Scarlet fever with strep throat

4

A 15-year-old girl has been diagnosed with Hepatitis B and will be starting treatment with Interferon-alpha (IFN). The nurse needs to educate the patient on this medication. Which of the following should be included in this education? 1. The medication reduces the replication of the Hepatitis B virus. 2. The patient needs to remain on treatment for one year. 3. Patients may develop resistance to Interferon-alpha over time. 4. Interferon-alpha has fewer side effects than Lamivudine, which is also used to treat Hepatitis B

1

When a fetus receives antibodies from the mother by way of the placenta, this is known as: 1. Active immunity. 2. Natural Passive immunity. 3. Transmission immunity. 4. Attenuated immunity.

2

The Hib vaccines protect an infant against which of the following diseases 1. Bacterial meningitis 2. Epiglottitis 3. Bacterial pneumonia 4. Septic arthritis 5. Sepsis

12345

An adolescent is diagnosed with mononucleosis. Which teaching should the nurse provide to the parents when providing care at home? Select all that apply. 1. Encourage ample fluids. 2. Avoid all contact sports for 6 to 8 weeks. 3. Encourage rest with quiet activities and play. 4. Limit the amount of caloric intake until recovered. 5. Provide ibuprofen or acetaminophen for elevated temperature.

1235

A school-age child is diagnosed with hand, foot, and mouth disease. Which should the nurse instruct the parent to do when caring for the patient at home? Select all that apply. 1. Provide bland foods and fluids. 2. Offer generous amounts of oral fluids. 3. Wash clothes with hot soapy water and bleach. 4. Use acetaminophen or ibuprofen for pain control. 5. Instruct to flush the mouth with an alcohol-based mouthwash.

124

Which of the following vaccinations are included in health promotion during infancy 1. Haemophilus influenzae type b (Hib) 2. Hepatitis C virus (HCV) 3. Diphtheria, tetanus, and pertussis 4. (DTaP) 5. Poliovirus 6. Hepatitis B virus (HBV)

1456

A child presents to the emergency department with burns on the lower arm from hot water. They appear to be white with red blisters, do not blanch, and the child can feel pressure, but not pain, with palpation. How would the nurse describe these burns? 1. Superficial burns 2. Deep partial-thickness burns 3. Full-thickness burns 4. Superficial partial-thickness burns

2

A mother is bringing her 2-month-old son in for his well-child visit. He is due to receive his Diphtheria, Tetanus, and Pertussis vaccine. The nurse is educating the mother on the possible side effects of the vaccine, which include: 1. Pain and swelling in the joints. 2. Irritability, loss of appetite, and seizures. 3. Nausea, vomiting, and abdominal pain. 4. Fever and decreased white blood cell count.

2

A parent asks the nurse what organism is the most common cause of diaper dermatitis. How should the nurse respond? 1. Urine and feces 2. Candida albicans 3. Staphylococcus aureus 4. Streptococcus

2

A parent brings a 2-month-old baby in for a routine wellness examination. Which vaccination hould the nurse prepare to administer to this patient? 1. Hepatitis A 2. Hepatitis B 3. Inactivated poliovirus 4. Measles, mumps, rubella

2

If the mother of a child is hepatitis B surface antigen (HBsAg) negative, the nurse knows that the child should receive his or her first dose of the hepatitis B virus (HBV) vaccine at 1. 2 months of age, at the first well-child visit. 2. birth before discharge from the hospital. 3. 6 months of age, at the third well-child visit. 4. no time (this vaccine is not currently recommended).

2

The change from the exclusive use of oral polio vaccine (OPV) to the exclusive use of inactivated poliovirus vaccine (IPV) related to the rare risk of vaccine-associated polio paralysis (VAPP) from OPV has resulted in which of the following? 1. An increase in the risk of VAPP 2. An increased number of injections and increased cost 3. A better antibody conversion than the oral formulation 4. A measurable decrease in immunity in the community

2

The mother of a 4-year-old girl brings her daughter in to be evaluated for a fever of 101 degrees and a headache that has lasted for the past three days. The mother was concerned this morning when the child woke up and had reddened cheeks that looked like she had been slapped. The nurse suspects the child has: 1. Impetigo. 2. Fifth's disease. 3. German measles. 4. Hand-Foot-Mouth Disease

2

The nurse is providing care to an 8-week-old infant who has symptoms of an upper respiratory infection. Which assessment finding should indicate to the nurse that the patient is experiencing pertussis? 1. An expiratory wheeze 2. A "whoop" sound after coughing 3. Three wet diapers each day 4. Bulging fontanelles

2

The parent of an infant with cradle cap does not want to use any medication or chemicals to treat the disorder. What should the nurse recommend to this parent? 1. Wash the scalp with hot water. 2. Apply warm olive oil to the scalp. 3. Apply petroleum jelly over the areas. 4. Avoid washing the scalp for several days.

2

The parents of a child diagnosed with scabies ask if they should be concerned about this spreading to other family members of the family. Which is the best response from the nurse who is caring for them? 1. "Scabies does not spread easily from person to person." 2. "You should have other family members avoid sharing items to minimize spread of infection." 3. "We will treat the entire family as it is impossible to prevent transmission." 4. "The washing of items in hot water will kill all remaining mites in your home to protect other family members."

2

What is the most common piece of medical equipment that can transmit harmful microorganisms among patients? 1. Thermometer 2. Stethoscope 3. Injection needle 4. Disposable gloves

2

The nurse is visiting the home of a patient with hepatitis B who is 1 week postpartum. Which information should the nurse include when teaching this patient? Select all that apply. 1. "Hepatitis B is only transmitted through sexual contact." 2. "The baby may have contracted hepatitis B through the pregnancy." 3. "There are no medications appropriate for children with hepatitis B." 4. "After the baby has received treatment, there is no need for follow-up." 5. "The baby should have received the hepatitis B immunization and hepatitis B immune globulin."

25

A 12-month-old child presents to the clinic for a well visit after missing several appointments. The child began her immunization schedule but has missed several follow-up appointments and immunization doses. The nurse knows that the most appropriate action is what? 1. The child must receive initial immunizations from the beginning. 2. The child cannot receive missed immunizations if the schedule is not followed. 3. The child should only receive the missed doses of immunizations. 4. The child should receive double-strength immunizations at this well visit

3

A child is diagnosed with methicillin-resistant staphylococcus aureus (MRSA). Which information from the parent most likely contributed to this child's infection? 1. Giving liquid clindamycin with syrup 2. Increasing fluids and rest for a viral infection 3. Saving several doses of an antibiotic for later use 4. Completing an entire course of antibiotics for a bacterial infection

3

A parent of a child diagnosed with impetigo phones the physician's office to ask about how long their child will be contagious. The nurse knows which is the best response to this question? 1. Children with impetigo are considered to be contagious for 1 week. 2. Children with impetigo are not considered to be contagious. 3. Children with impetigo are considered to be contagious for 24 hours after they begin antibiotic therapy. 4. Children with impetigo are considered to be contagious for 2 weeks.

3

A school-age child is brought to the clinic to be evaluated for a headache and stomachache. For which reason should the nurse prepare the patient to have a rapid strep test? 1. Runny nose 2. Productive cough 3. Strawberry tongue 4. Jaundiced conjunctiva

3

A school-age patient with rubella is placed in droplet precautions. Which action should the nurse take when implementing these precautions? 1. Use a mask with a HEPA filter. 2. Instruct to cough into the hands. 3. Wear a mask when providing care. 4. Assign to a negative air pressure room.

3

A vaccine that contains fragments of cells that stimulate an immune response, but does not contain the whole cell is known as a: 1. Toxoid. 2. Subunit. 3. Acellular. 4. Attenuated

3

An older patient with weeping lesions caused by herpes zoster asks if a trip to visit small grandchildren can still occur this upcoming weekend. Which should the nurse say to the patient inresponse? 1. "There is no reason for you to cancel your trip." 2. "You should not travel until all of the lesions are healed." 3. "Be sure to keep the lesions covered until they crust over." 4. "As long as the lesions are kept uncovered, you can travel without any issues."

3

Reye's Syndrome can be a life-threatening disease affecting the brain and liver of children. The cause of this disease comes from the ingestion of: 1. Ibuprofen during a viral illness. 2. Ibuprofen during a bacterial illness. 3. Aspirin or other salicylates during a viral illness. 4. Aspirin or other salicylates during a bacterial illness.

3

The nurse is preparing teaching material on the removal of head lice for a community health program. Which information should the nurse include? 1. Remove nits with a hairbrush. 2. Clean all bedding in cold water and bleach. 3. Place objects that cannot be laundered in a plastic bag. 4. Spray the floor and furniture in the home with a pesticide.

3

The nurse understands that respiratory hygiene and cough etiquette is recommended by the Centers for Disease Control and Prevention (CDC) to prevent which of the following? 1. HBV, Hib, and pertussis 2. HSV, influenza, and HBV 3. RSV, influenza, and adenovirus 4. RSV, pertussis, and varicella

3

The period of time when a child begins to have mild signs and symptoms until the main illness appears, and which is associated with increased communicability, is referred to as: 1. Transmission. 2. Susceptibility. 3. Prodromal period. 4. Incubation period.

3

The nurse is writing teaching material about caring for a child with influenza. Which information should the nurse include? Select all that apply. 1. Zanamivir is only prescribed for children over 13 years old. 2. Only one antiviral has been approved by the FDA as of 2017. 3. Tamiflu can be given to children older than one on weight-based dosing. 4. Manifestations of the flu include fever, chills, headache, and myalgia (aching). 5. Medications for influenza must be given within 48 hours of the onset of symptoms.

345

parent with a school-age child with mumps asks for information about the illness and treatment. Which information should the nurse provide? Select all that apply. 1. "There is no need to isolate the child." 2. "There are no laboratory tests to detect the mumps virus." 3. "Sometimes the complications of mumps involve the testicles." 4. "Mumps are seen by observation of swelling around the ears and jaw." 5. "Provide food and drink that is nonirritating to the mouth and surrounding glands."

345

A 17-year-old patient with influenza tells the nurse, "I can't believe I got sick. I've been taking vitamin C, vitamin D, echinacea, and some other herbal remedies to boost my immune system." Which should the nurse say in response to this patient? Select all that apply. 1. "You probably weren't taking enough of the supplements." 2. "Those supplements help with focus and attention, not disease prevention." 3. "The safe use of supplements and herbs has not been determined." 4. "The vitamins you were taking may have reduced the effectiveness of the herbs." 5. "The effectiveness of supplements and herbs against influenza has not been determined."

35

A 27-year-old mother has just delivered a healthy 7 lb. 3 oz. baby boy. Which of the following is true regarding the baby's immunization schedule for Hepatitis B? 1. The infant will need two doses administered at least 6 months apart. 2. The infant should not receive the vaccine until at least 12 months of age. 3. The infant will not need any vaccines at this time because of passive immunity from the mother. 4. If the mother is Hepatitis B surface antigen positive, the baby will need 0.5ml of Hepatitis B Immune Globulin.

4

A 6-year-old boy with Varicella-zoster (chickenpox) and a visible rash is being admitted to the hospital for treatment of dehydration. Which of the following isolation precautions needs to be taken? 1. Contact 2. Airborne 3. Contact and droplet 4. Contact and airborne

4

A nurse is caring for a school-age child who has inflammation of the right eye. Which finding, if present, would indicate to the nurse that the child has bacterial conjunctivitis rather than viral conjunctivitis? 1. Eye swelling 2. Red conjunctiva 3. Watery discharge 4. Purulent drainage

4

A parent brings his school-age child to the clinic for a rash that developed over the face, trunk, and extremities. Which question should the nurse ask the parent when assessing the patient? 1. "Has the child been nauseated or has the child vomited?" 2. "How often is the child given acetaminophen, or Tylenol?" 3. "Has the child eaten any food that was not properly cooked?" 4. "Was the child exposed to anyone with a respiratory infection?"

4

An adolescent develops a fever, cough, and a maculopapular rash. Which question should the nurse ask when completing the health history with this patient? 1. "Did you receive any vaccinations recently?" 2. "Do you usually eat cold pizza left on the counter overnight?" 3. "Do you forget to wash your hands after using the bathroom?" 4. "Have you been around anyone with a cold over the last 3 weeks?"

4

An adolescent with paraplegia has a wound located on the sacrum that is full-thickness with tissue loss. In which stage should the nurse categorize this wound? 1. Stage 1 2. Stage 2 3. Stage 3 4. Stage 4

4

The nurse is assessing the skin of a toddler. Which finding should the nurse immediately report to the health-care provider? 1. Scab formation on the left knee 2. Pink coloration over the cheekbones 3. Red area on the right heel that blanches 4. Blue lesion on the chest that does not blanch

4

The nurse learns that a 16-year-old patient has not received the human papilloma virus vaccine (HPV-Gardasil). Which should the nurse explain to the patient at this time about the vaccination? 1. "The complete vaccine can be given today." 2. "You can wait a few years before needing the vaccination." 3. "A dose can be given today with the final dose in 6 months." 4. "A dose should be given today with follow-up doses in 1 to 2 months, and the last in 6 months."

4

Which of the following is a consideration in the administration of immunizations? 1. Immunizations can only be administered if a child is free from any illnesses. 2. Caregivers should administer aspirin prior to the injection to prevent any side effects. 3. Children should be isolated from other children for 24 hours after receiving immunizations. 4. Caregivers should be advised that immunizations may cause a mild fever or soreness and redness at the injection site.

4

Which of the following is a high risk group among children and adolescents for contracting Hepatitis B? 1. Those living in institutions 2. Individuals infected by sexual partners 3. Children who are hemophiliacs or are receiving frequent blood transfusions 4. All of the above

4

Which of the following is true about immunizations containing thimersal and autism? 1. Thimersal has been removed from all vaccines. 2. Only the MMR vaccine is associated with autism. 3. Thimersal has been linked to learning disabilities, but not autism. 4. Researchers have found no evidence that thimersal is linked to autism.

4

A 4-month-old infant comes to the clinic for a well-infant checkup. Immunizations she should receive are DTaP (diphtheria, tetanus, acellular pertussis) and IPV (inactivated poliovirus vaccine). She is recovering from a cold but is otherwise healthy and afebrile. Her older sister has cancer and is receiving chemotherapy. Nursing considerations should include which? a. DTaP and IPV can be safely given. b. DTaP and IPV are contraindicated because she has a cold. c. IPV is contraindicated because her sister is immunocompromised. d. DTaP and IPV are contraindicated because her sister is immunocompromised.

A

A child has been diagnosed with cat scratch disease. The nurse explains which characteristics about this disease? a. "The disease is usually a benign, self-limiting illness." b. "The animal that transmitted the disease will also be ill." c. "The disease is treated with a 5-day course of oral azithromycin." d. "Symptoms include pruritus, especially at the site of inoculation."

A

An 18-month-old child has been diagnosed with pediculosis capitis (head lice). Which prescription should the nurse question if ordered for the child? a. Malathion (Ovide) b. Permethrin 1% (Nix) c. Benzyl alcohol 5% lotion d. Pyrethrin with piperonyl butoxide (RID)

A

Lymphangitis (streaking) is frequently seen in what? a. Cellulitis b. Folliculitis c. Impetigo contagiosa d. Staphylococcal scalded skin

A

The nurse is preparing an airborne infection isolation room for a patient. Which communicable disease does the patient likely have? a.Varicella b.Pertussis c.Influenza d.Scarlet fever

A

What causes warts? a. A virus b. A fungus c. A parasite d. Bacteria

A

What does impetigo ordinarily results in? a. No scarring b. Pigmented spots c. Atrophic white scars d. Slightly depressed scars

A

Which is usually the only symptom of pediculosis capitis (head lice)? a. Itching b. Vesicles c. Scalp rash d. Localized inflammatory response

A

Which vitamin supplementation has been found to reduce both morbidity and mortality in measles? a.A b.B1 c.C d.Zinc

A

The nurse is preparing to admit a 2-year-old child with rubella (German measles). Which clinical manifestations of rubella should the nurse expect to observe? (Select all that apply.) a. Sore throat b. Conjunctivitis c. Koplik spots d. Lymphadenopathy e. Discrete, pinkish red maculopapular exanthema

ABDE

The nurse is planning to administer immunizations to a 6-month-old infant. Which interventions should the nurse implement to minimize local reactions from the vaccines? (Select all that apply.) a.Select a needle length of 1 inch. b.Administer in the deltoid muscle. c.Inject the vaccine into the vastus lateralis. d.Draw the vaccine up from a vial with a filter needle. e.Change the needle on the syringe after drawing up the vaccine and before injecting.

AC

The clinic nurse is reviewing the immunization guidelines for hepatitis B. Which are true of the guidelines for this vaccine? (Select all that apply.) a.The hepatitis B vaccination series should be begun at birth. b.The adolescent not vaccinated at birth does not have a need to be vaccinated. c.Any child not vaccinated at birth should receive two doses at least 4 months apart. d.An unimmunized 10-year-old child should receive three doses administered 4 weeks apart.

AD

The nurse is conducting discharge teaching to an adolescent with a methicillin-resistant staphylococcus aureus (MRSA) infection. What should the nurse include in the instructions? (Select all that apply.) a. Avoid sharing of towels and washcloths. b. Launder clothes and bedding in cold water. c. Use bleach when laundering towels and washcloths. d. Take a daily bath or shower with an antibacterial soap. e. Apply mupirocin (Bactroban) to the nares twice a day for 2 to 4 weeks.

ADE

The nurse is planning care for a child with chickenpox (varicella). Which prescribed supportive measures should the nurse plan to implement? (Select all that apply.) a. Administration of acyclovir (Zovirax) b. Administration of azithromycin (Zithromax) c. Administration of Vitamin A supplementation d. Administration of acetaminophen (Tylenol) for fever e. Administration of diphenhydramine (Benadryl) for itching

ADE

The nurse is planning care for an infant with candidiasis (moniliasis) diaper dermatitis. Which topical ointments may be prescribed for the patient? (Select all that apply.) a. Nystatin b. Bactroban c. Neosporin d. Miconazole e. Clotrimazole

ADE

Treatment for herpes simplex virus (type 1 or 2) includes which? a. Corticosteroids b. Oral griseofulvin c. Oral antiviral agent d. Topical or systemic antibiotic

C

A child has been diagnosed with giardiasis. Which prescribed medication should the nurse expect to administer? a. Acyclovir (Zovirax) b. Metronidazole (Flagyl) c. Erythromycin (Pediazole) d. Azithromycin (Zithromax)

B

Pertussis vaccination should begin at which age? a.Birth b.2 months c.6 months d.12 months

B

The clinic nurse is instructing parents about caring for a toddler with ascariasis (common roundworm). Which statement made by the parents indicates a need for further teaching? a. "We will wash our hands often, especially after diaper changes." b. "We know that roundworm can be transmitted from person to person." c. "We will be sure to continue the nitazoxanide (Alinia) orally for 3 days." d. "We will bring a stool sample to the clinic for examination in 2 weeks."

B

What is most important in the management of cellulitis? a. Burow solution compresses b. Oral or parenteral antibiotics c. Topical application of an antibiotic d. Incision and drainage of severe lesions

B

What is the primary treatment for warts? a. Vaccination b. Local destruction c. Corticosteroids d. Specific antibiotic therapy

B

When giving instructions to a parent whose child has scabies, what should the nurse include? a. Treat all family members if symptoms develop. b. Be prepared for symptoms to last 2 to 3 weeks. c. Carefully treat only areas where there is a rash. d. Notify practitioner so an antibiotic can be prescribed.

B

Which muscle is contraindicated for the administration of immunizations in infants and young children? a.Deltoid b.Dorsogluteal c.Ventrogluteal d.Anterolateral thigh

B

Which serious reaction should the nurse be alert for when administering vaccines? a.Fever b.Skin irritation c.Allergic reaction d.Pain at injection site

C

The clinic nurse is assessing a child with a heavy ascariasis lumbricoides (common roundworm) infection. Which assessment findings should the nurse expect? (Select all that apply.) a. Anemia b. Anorexia c. Irritability d. Intestinal colic e. Enlarged abdomen

BCDE

The clinic nurse is assessing a child with bacterial conjunctivitis (pink eye). Which assessment findings should the nurse expect? (Select all that apply.) a. Itching b. Swollen eyelids c. Inflamed conjunctiva d. Purulent eye drainage e. Crusting of eyelids in the morning

BCDE

The nurse is preparing to admit a 1-year-old child with pertussis (whooping cough). Which clinical manifestations of pertussis should the nurse expect to observe? (Select all that apply.) a. Earache b. Coryza c. Conjunctivitis d. Low-grade fever e. Dry hacking cough

BDE

The nurse is preparing to admit a 5-year-old child who developed lesions of varicella (chickenpox) 3 days ago. Which clinical manifestations of varicella should the nurse expect to observe? (Select all that apply.) a. Nonpruritic rash b. Elevated temperature c. Discrete rose pink rash d. Vesicles surrounded by an erythematous base e. Centripetal rash in all three stages (papule, vesicle, and crust)

BDE

The nurse is preparing to admit a 5-year-old child who developed lesions of varicella (chickenpox) 3 days ago. Which clinical manifestations of varicella should the nurse expect to observe? (Select all that apply.) a.Nonpruritic rash b.Elevated temperature c.Discrete rose pink rash d.Vesicles surrounded by an erythematous base e.Centripetal rash in all three stages (papule, vesicle, and crust)

BDE

The nurse should know what about Lyme disease? a. Very difficult to prevent b. Easily treated with oral antibiotics in stages 1, 2, and 3 c. Caused by a spirochete that enters the skin through a tick bite d. Common in geographic areas where the soil contains the mycotic spores that cause the disease

C

The school reviewed the pediculosis capitis (head lice) policy and removed the "no nit" requirement. The nurse explains that now, when a child is found to have nits, the parents must do which before the child can return to school? a. No treatment is necessary with the policy change. b. Shampoo and then trim the child's hair to prevent reinfestation. c. The child can remain in school with treatment done at home. d. Treat the child with a shampoo to treat lice and comb with a fine-tooth comb every day until nits are eliminated.

C

A child has been diagnosed with scabies. Which statement by the parent indicates understanding of the nurse's teaching about scabies? a. "The itching will stop after the cream is applied." b. "We will complete extensive aggressive housecleaning." c. "We will apply the cream to only the affected areas as directed." d. "Everyone who has been in close contact with my child will need to be treated."

D

A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain? a.This cannot be prevented. b.Infants do not feel pain as adults do. c.This is not a good reason for refusing immunizations. d.A topical anesthetic can be applied before injections are given.

D

An immunocompromised child has been exposed to chickenpox. What should the nurse anticipate to be prescribed to the exposed child? a. Acyclovir (Zovirax) b. Valacyclovir (Valtrex) c. Amantadine (Symmetrel) d. Varicella-zoster immune globulin

D

An infant with respiratory syncytial virus (RSV) is being admitted to the hospital. The nurse should plan to place the infant on which precaution? a. Enteric b. Airborne c. Droplet d. Contact

D

Herpes zoster is caused by the varicella virus and has an affinity for which? a. Sympathetic nerve fibers b. Parasympathetic nerve fibers c. Lateral and dorsal columns of the spinal cord d. Posterior root ganglia and posterior horn of the spinal cord

D