Integumentary Disorders

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 mg

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 nurse is providing care to an infant who is admitted with burns over the face, neck and chest. The nurse identifies which goal as priority for planning the infant's care?

Airway remains patent

A school nurse is preparing an educational presentation to a group of adolescents, parents and teachers about how to prevent skin cancer. Which topic(s) will be included? Select all that apply

Avoid getting a severe sunburn. It is important to avoid tanning beds. Sunscreen application needs to include tops of ears and back of neck. Individuals need to apply sunscreen if out in the sun for longer than 20 minutes. There is a direct association between two or more episodes of sunburn and development of malignant

The nurse is providing care to a 5-year-old child brought to the emergency department with a cat bite wound on the arm. While teaching the parents how to care for the wound, the child's mother asks the nurse, "Why isn't the bite being stitched closed?" Which response by the nurse would be appropriate?

Bites from cats are likely to become infected, so it is better to leave the wound open and heal from the inside out

A nurse is providing care to a child with partial and full thickness burns over 26% of the body. In monitoring the child's output the nurse expects an output of 1 to 2 mL/kg/hr. The nurse has emptied 46 mL from the foley catheter for the past hour. The child weighs 62 lb (28 kg). What action should the nurse take?

Document the output and continue to monitor

A child has been hospitalized with a diagnosis of severe impetigo. The nurse is interviewing the family. Which question will have the greatest impact on the child's care?

Does your child have any allergies to medications?

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 30-month-old child has been discharged from the hospital after receiving treatment for 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 nursing student learning about childhood infectious diseases correctly identifies which of the following as the disease related to chickenpox, which tends to occur in older children or young adults?

Herpes zoster

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."

A nurse is teaching a group of parents about burn safety. Which statement made by a parent requires intervention by the nurse?

I had our plumber lower our water heater temperature to 130°F (53°C)

The nurse is assessing the skin of a 6-year-old child with urticaria. When interviewing the child and parents, which question would be most important for the nurse to ask?

Is the child having any trouble breathing?

The parent of a child diagnosed with nonbullous impetigo brings the child back to the clinic. The parent states, "I am doing what I am supposed to for my child, but the lesions have not gone away yet." The child began treatment with a topical antibiotic ointment 7 days ago. Which response by the nurse is most appropriate?

It takes 10 to 14 days for the lesions to decrease

The appearance of which hallmark clinical manifestation occurs in measles?

Koplik spots

When describing measles to a local parent group, the nurse explains that which of the following is the hallmark clinical manifestation?

Koplik spots

An infant is seen in the emergency department with several raised red welts over the abdomen and lower extremities. The parent states that the symptoms developed suddenly over the past few hours. The infant is fussy and has a low grade temperature. What assessment is most important for the nurse to perform?

Observe the infant's respiratory effort

What information should be included in the teaching plan for a child with varicella?

Remind the child not to scratch the lesions

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 new parent brings the 3-month-old infant to the clinic for a well-baby check up. During the visit, the parent asks the nurse, "I know the rays from the sun can be harmful, so what should I do to protect my infant?" Which suggestion by the nurse would be most appropriate?

The best thing to do is keep any infant under the age of 6 months out of the sun

What is a true statement regarding measles?

The incubation period is 10 to 12 days

The nurse is teaching the parents of a child diagnosed with erythema multiforme about the condition. The nurse determines that the teaching was successful based on which statement by the parents?

The rash should go away in about 2 weeks

The parents of a child diagnosed with varicella are concerned about their other children getting it. The nurse instructs the parents that their child is contagious for how much longer now that the rash has appeared?

Until there are no more new lesions and lesions have crusted over

The nurse is teaching the parents of a 5-year-old child diagnosed with head lice about using permethrin. The nurse determines that the teaching was successful based on which statement by the parents?

We need to leave the medication on for about 10 minutes before rinsing it off

A parent brings a child to the emergency department and states "Our neighbor's dog just bit my child!" The nurse interviews the parent as the child receives treatment. Which question(s) should the nurse ask to assist with the child's care? Select all that apply

What kind of dog bit your child?" "Are your child's immunizations up to date? "Did your child provoke the dog?" "Do you know if the dog has had its shots?

A school-aged child is recovering from varicella. The parent calls the school nurse and states "my child is feeling much better" and asks when the child can return to school. What information does the nurse provide the parent?

Your child may return to school when all of the lesions have crusted over

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

proper administration of penicillin

The nurse is doing an in-service training on clinical manifestations seen in communicable diseases. Which skin condition best describes pustule?

small elevation of epidermis filled with a viscous fluid