Peds Skin Condition and Communicable disease

A 4-month-old infant is brought to the clinic to have a second diphtheria, tetanus, and pertussis (DTaP) vaccine. The infant's mother states that the infant has had a runny nose for the last 2 days but no fever. Prior to administering the infant's immunization, which question from the nurse to the mother is the most appropriate?

"Did your baby have any reaction following the first DTaP?"

The nurse is teaching first aid measures to a group of adolescents about appropriate treatment for burns. The nurse should anticipate the need for further teaching when one of the adolescents makes which statement?

"It is appropriate to place butter on the burn."

The 16-year-old client presents to the dermatology clinic with a diagnosis of acne vulgaris. The client says to the nurse, "I don't know what else to do! I wash my face twice a day. I wear noncomedogenic makeup. I shower after I work out. I guess I'm just going to have acne on my face forever." Which responses by the nurse would be most appropriate? Select all that apply.

-"You feel like there's nothing else you can do to cure your acne." -"You feel like there's nothing else you can do to cure your acne."

Superficial

1st degree, epidermis only, skin red but blanches easily

Partial thickness

2nd degree, epidermis and much of dermis, blistered, moist, pink or red

Full thickness

3rd degree, involves entire skin, painless to touch, tough lethery, dry

A nursing student is assigned to help administer immunizations to children in a clinic. The nursing instructor asks the student about the contraindications to receiving an immunization. Immunization is contraindicated in the presence of which condition?

A severe febril illness

The school nurse prepares a list of home care instructions for the parents of school children who have been diagnosed with pediculosis capitis (head lice). Which should be included in the list?

Vacuum floors, play areas, and furniture to remove any hairs that may carry live nits.

The nurse provides instructions to the mother of a child with impetigo regarding the application of antibiotic ointment. The mother asks the nurse when the child can return to school. Which response by the nurse is appropriate?

Forty-eight hours after using the antibiotic ointment

While providing anticipatory guidance to family of a 9-month-old, the immunization record should demonstrate that the child has received which of the following:

Hepatitis B, diptheria, tetanus, and pertussis (DTP), Hib, IPV, and PCV

The nurse is teaching the parents of an infant diagnosed with Candidiasis in the diaper area how to treat this occurrence and decrease the risk for future occurrences. Which teaching point does the nurse include in the teaching session?

Keeping the diaper area as dry as possible

Which personal protective equipment (PPE) should the nurse don when providing care within 3 feet of a pediatric patient who is on droplet precautions?

Mask

Infectious disease linked with tattoos and piercing

Mycobaterium haemophilum, HIV, impetigo, mycobacterium tuberuclosis, Hep B&C

Crust

scab

Fourth degree

all skin and nerve endings, muscle & bone destruction, blood vessels & bone visible, necrosis occurs

Eczema is actually a symptoms of ___ rather than a disorder

allergies

Ecchymosis

black and blue-purple mark (bruise)

Deep dermal

deep partial thickness, extends keep into dermis, mottled, red, tan, or dull white

Papule

elevated area (pimple)

vesicle

elevated, fluid-filled blister (cold sore, chicken pox)

pustule

elevated, pus filled (impetigo, acne)

Macule

flat rash (freckle)

Diaper dermatitis can be prevented by all of the following except:

heavily coating the perineal area with baby powder

Stye

inflammation of the sebaceous gland of the eyelid

wheal

raised red, irregular (mosquito bite, allergic reaction)

The nurse is teaching parents how to prevent the spread of infectious disease. Which priority health promotion strategy should the nurse recommend for all age groups of children?

Performing hand hygiene

A sunburn can be a minor epidural burn or a partial thickness burn with blisters. T or F

T

Preventing infection is an important nursing intervention for patients with burns or any skin lesions. T or F

T

The severity of the burn depends on the area, extent, and depth of involvement. T or F

T

A child is seen in the health care clinic and received an immunization of DPT (diphtheria, pertussis, tetanus vaccine). One hour later, the mother calls the clinic and tells the nurse that the injection site is painful and red. Which instructions should the nurse reinforce to the mother?

To apply cold compresses for 24 hours following the injection

Interventions for infection of piercing

remove piercing, culture drainage, clean with peroxide, apply antibiotic ointment