Women and Children chapter 41 prep u

The parent of a child with mumps calls the clinic to find out how long the child needs to stay home from school. The nurse would instruct the parent to allow the child to return to school at which time?

after 9 days from the onset of swelling

The community nurse receives a call from a local day care center. One of the children in the center has been diagnosed with impetigo. Which information related to impetigo will the nurse provide to the day care center?

Impetigo is highly contagious and can spread quickly.

An infant has presented at the clinic with impetigo. Which organism usually causes impetigo in infants?

Staphylococcus aureus

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?

"Antibiotics are needed to help our child recover from rubella."

The parent of a child with mumps on one side of the face asks the nurse, "SInce it happened on one side, can it happen again on the other side in the future?" Which response by the nurse would be appropriate?

"Because your child has had the disease, they are immune to further attacks."

The nurse is providing care for a 14-year-old adolescent with severe acne. The adolescent expresses sadness and distress about appearance. Which response by the nurse would be most appropriate?

"Many people feel this way; I know someone who may be able to help."

The nurse is caring for a 6-year-old boy with mumps. Which of the following statements by the child would cause the nurse to suspect the boy is experiencing a complication of mumps?

"Please talk a little louder."

The school nurse is educating the faculty at an area elementary school. One of the teachers asks how to tell the difference between lice and scabies in children. Which of the following is the best response from the nurse?

Children with lice tend to be itchy all day, whereas children with scabies itch more at nighttime.

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 parent is observing a nurse provide care for the parent's 2-year-old toddler who was burned in a house fire. When the nurse is finished, the parent tells the nurse "I cannot believe this has happened. I should have been able to prevent this from happening." What is the best action for the nurse to take?

Encourage the parent to talk more about feelings.

A child who developed parotid gland swelling on March 5 was diagnosed with mumps. The nurse determines that the child will no longer be contagious at which time?

March 14

The home care nurse is observing a mother prepare mupirocin to treat a preschool-age child's skin rash. At which point should the nurse stop the mother during the preparation of the medication?

Mother measures out a teaspoon of the medication for the child to take orally.

A child is diagnosed with scarlet fever. The nurse is reviewing the child's medical record, expecting which medication to be prescribed for this child?

Penicillin V

A child with a burn injury is scheduled for skin grafting. Which intervention would be most appropriate for the nurse to include in the child's plan of care?

Provide around the clock pain medication.

A nurse is assessing an infant and notes a "blueberry muffin" rash. The nurse suspects which of the following?

congenital rubella

A nurse is assessing a child whose history reveals an upper respiratory illness that has progressed to a persistent cough characterized by an inspiratory whoop. The nurse would suspect which of the following?

pertussis

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

The nursing diagnosis of risk for infection related to a disruption in the protective skin barrier is noted on a child's plan of care. Which action would be of greatest importance?

using appropriate hand hygiene

An adolescent is seen in the clinic with a first-degree (superficial) burn. Which instruction(s) will the nurse provide for initial care of the burn? Select all that apply.

"Cleanse the burn with cool water." "Apply a clean, non-adhering dressing." "Take ibuprofen for pain every 4 to 6 hours."

The nurse is evaluating the parents' understanding of atopic dermatitis. Which statement shows their understanding?

"Flare-ups of lesions are not uncommon following therapy."

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."

he 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 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 nurse is performing a physical examination on a 9-year-old boy who has experienced a tick bite on his lower leg and is suspected of having Lyme disease. Which assessment finding would the nurse expect to find?

Ring-like rash on lower leg

A 6-month-old boy is brought to the doctor's office with a high fever. The physician diagnoses the child as having a viral infection of some kind and recommends acetaminophen to reduce the fever. After 3 days, the mother returns with the child. The fever is gone, but a rash of discrete, rose-pink macules approximately 2 to 3 mm and flat with the skin surface appears. Which condition should the nurse suspect?

Roseola

Which of the following is a true statement regarding measles?

The incubation period is 10 to 12 days.

An 11-year-old girl arrives at the doctor's office with fever, a sore throat, chills, and malaise. A throat culture indicates scarlet fever. Which other symptom should the nurse notice in this client that clearly indicates scarlet fever?

The tongue has a white or red "strawberry" appearance

A 2-month-old infant has been diagnosed with seborrheic dermatitis (cradle cap). The nurse is educating the parent about care of the child. Which instructions would the nurse include? Select all that apply.

Wash the child's hair every day. Carefully but vigorously wash the area of the "soft spot." Use a fine-tooth baby comb after washing the hair. Apply mineral oil to loosen the crusts

The nurse is caring for multiple clients on the pediatric unit. Which child will the nurse see first?

a child with erythema infectiosum experiencing fatigue and confusion

A chief danger of scarlet fever is that children may develop:

acute glomerulonephritis.

The nurse assesses a child and notes the following: oral temperature 101.1°F (38.3°C), pruritis, and a generalized rash that develops in crops with macules, papules, vesicles, and crusts present. The parent reports the child is immunocompromised. Which health care provider prescription(s) will the nurse request? Select all that apply.

acyclovir liquid suspension complete blood count (CBC) placement in private hospital room diphenhydramine topical cream for itching

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

n the child diagnosed with miliaria rubra, a rash that appears as pinhead-sized reddened papules usually is most noticed in which areas of the body?

folds of the skin and around the neck

The nurse is caring for a 1-year-old in a pediatric clinic. The child was brought to the clinic with symptoms of dry, itchy red patches of skin on the arms and legs. A diagnosis of atopic dermatitis (eczema) is made. What is a key element in the treatment regimen for this diagnosis?

frequently rehydrating the skin

The nurse is conducting a physical examination of a 9-month-old baby with a flat, discolored area on the skin. The nurse documents this as a:

macule

The nurse is educating a class about signs and symptoms of smallpox (variola) that would be noted in the first 24 hours of the prodromal phase. Which signs and symptoms selected by the class participants indicate teaching was successful? Select all that apply.

malaise headache high fever facial lesions abdominal pain

A child is diagnosed with varicella zoster and has been prescribed acyclovir 15 mg/kg q 8 hours IV. The child weighs 61.7 lb (28 kg). How many milligrams should the nurse administer in each dose? Record your answer using a whole number.

420

Which collaborative intervention will the nurse provide when caring for an infant diagnosed with pertussis? Select all that apply

Have suction available in the room. Encourage small, frequent feedings. Administer erythromycin for 10 days. Utilize droplet and standard precautions.

When providing care for a child with herpes zoster (shingles), the parents ask the nurse how the child contracted this infectious disorder. Which response by the nurse is most appropriate?

Herpes zoster is a reactivation of a previous varicella zoster infection."

The mother of a 5-year-old child with eczema is getting a checkup for her child before school starts. What will the nurse do during the visit?

Assess the compliance with treatment regimens.

The nurse is triaging a child diagnosed with poliomyelitis. After ensuring appropriate precautions are in place, what will the nurse do next?

Auscultate the child's lungs.

The nurse is caring for a child admitted with second-degree (partial-thickness) burns. What is most characteristic of this type of burn?

Blisters appear.

A 30-month-old child has been discharged from the hospital after receiving treatment for second-degree (partial-thickness) burns over 6% of the body. One week later, the parent calls the nurse to say that the child has been drinking from a cup for one year, but is now constantly pulling at the mother's breast trying to nurse and refuses to drink from a cup. What is the best way for the nurse respond?

Explain that children who have had a serious injury sometimes exhibit regressive behavior.

A 13-year-old boy who recently immigrated to the United States from India is found to be infected by a strain of the poliovirus. After initial symptoms of fever, headache, nausea, vomiting and abdominal pain subside, the virus proceeds to his central nervous system. Which of the following would be the best intervention for this client at this point?

bed rest, analgesia

The nurse anticipates that a 16-year-old girl with infectious mononucleosis will be instructed to avoid strenuous activities and contact sports to:

prevent splenic rupture.

An infant is seen in an ambulatory clinic for extensive streptococcal-based impetigo. An important point of care you would teach the mother would be:

proper administration of penicillin.

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

An intensive care nurse has received the above hand-off report from the emergency department nurse. Thirty minutes later, the nurse assesses the child again. Which assessment finding should the nurse investigate further?

temperature 100.5°F (38.1°C)

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 a child admitted to the hospital for sepsis. Which assessment finding is the most concerning?

urine output of 10 ml over 3 hours

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?

various stages of lesions present at the same time

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 parent calls the pediatric clinic and tells the nurse that the child has developed a large rash. Which question is most important for the nurse to ask the parent?

"What more can you tell me about the rash?"

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."

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

The nurse determines that it is necessary to implement airborne precautions for children with which infection?

measles

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

A nurse is inspecting the skin of a child with atopic dermatitis. What would the nurse expect to observe?

dry, red, scaly rash with lichenification

The nurse is caring for a child with a severe burn. The treatment for this child during the first 48 hours will be most likely be related to:

hypovolemic shock

A parent expresses a concern about white scales that have begun to flake off the 1-week-old infant's scalp. The parent asks, "What can I do to prevent this?" Which response by the nurse would be most appropriate?

"Your child most likely has infantile seborrheic dermatitis, or cradle cap. You can care for it by cleansing the hair and scalp daily with baby shampoo. You can also apply baby oil to the area for 10 to 15 minutes and then rinse away the flakes."

A school-age child with a rash over the abdomen now has a bright red tongue. The health care provider is going to begin treatment for scarlet fever. On which medication should the nurse instruct the mother for the child's care?

antibiotics

Which child will the nurse identify as at greatest risk for developing a urinary tract infection?

an 8-month-old bottle-fed female with HIV

A 3-year-old girl was in the hospital for a week following open heart surgery. By the end of the week, she had contracted an infection. The nurse recognizes this type of infection as a:

nosocomial (health care-associated) infection.

The nurse is caring for a child whose family recently emigrated from a developing country. While completing the admission history, the parents report all the child's immunizations are up to date. Which nursing action is most appropriate?

Ask parents which immunizations have been given.

The nurse is caring for a 12-year-old female client who came to the pediatric clinic presenting with genital warts. Which nursing intervention is most beneficial for this client?

Assess for sexual activities and possible sexual abuse

A parent brings an infant to the clinic for a well child visit. During the assessment, the parent asks the nurse why the infant never seems to sweat. What action should the nurse take?

Explain that this normal mechanism keeps the infant from losing too much water through the skin.

When the health care provider looks in a child's mouth during a sick-visit examination, the parent exclaims: "The tongue is bright strawberry red! It was not like that yesterday." The health care provider would most likely prescribe which medication based on the probable diagnosis?

Penicillin to prevent acute glomerulonephritis

The nurse is caring for a client with burns in a pediatric hospital. The child is scheduled to be discharged the following day and the nurse is going over discharge education with the parents. Which is the best intervention for the parents when removing an old dressing?

Soak the old dressing in tepid water before attempting to remove.

The school nurse is leading a discussion with a group of adolescents on the various sexually transmitted infections (STIs). The nurse determines the session is successful when the students correctly choose which STIs as considered curable with proper treatment? Select all that apply.

chlamydia gonorrhea trichomoniasis