Nursing Care of the Child With an Alteration in Tissue Integrity/Integumentary Disorder

A 10-year-old has been bitten on the lower posterior arm by a dog, requiring several stitches. The child was just admitted to the hospital for 3 days of antibiotic therapy. When developing the care plan, the nurse identifies which nursing diagnoses as being the top 2 priorities? a. Impaired skin integrity b. Risk for infection c. Disturbed body image d. Risk for fluid volume deficit e. Knowledge deficit regarding care of wound

a. Impaired skin integrity b. Risk for infection

An adolescent is to receive topical retinoid therapy for his moderately severe acne. The nurse would instruct the adolescent about which adverse effects? Select all that apply. a. burning b. photosensitivity c. dryness d. flu-like symptoms e. headache

a. burning b. photosensitivity c. dryness

An adolescent with tinea versicolor is admitted for treatment of the disorder. Which nursing diagnosis will the nurse identify as having the highest priority for this client? a. Risk for fluid volume deficit b. Disturbed body image c. Pain c. Altered nutrition

b. Disturbed body image

The nurse has completed client teaching with a 16-year-old female who has been prescribed isotretinoin for cystic acne. Which statements indicate learning has occurred? Select all that apply. a. "If I am sexually active I need to let my doctor know." b. "As long as I used two forms of birth control I don't need to have monthly pregnancy testing." c. "I am young so I won't need to have the liver tests the pamphlet suggests d. "This is not a drug to be used for all forms of acne. My sister has minor acne so I told her this wasn't for her." e. "it's important if I get CBC blood test when my doctor orders it."

a. "If I am sexually active I need to let my doctor know." d. "This is not a drug to be used for all forms of acne. My sister has minor acne so I told her this wasn't for her." e. "it's important if I get CBC blood test when my doctor orders it."

The nurse is conducting a physical examination of a boy with erythema multiforme. Which assessment finding should the nurse expect? a. lesions over the hands and feet, and extensor surfaces of the extremities with spread to the trunk b. thick or flaky/greasy yellow scales c. silvery or yellow-white scale plaques and sharply demarcated borders d. superficial tan or hypopigmented oval-shaped scaly lesions especially on upper back and chest and proximal arms

a. lesions over the hands and feet, and extensor surfaces of the extremities with spread to the trunk

The nurse instructor is reviewing the integumentary system during a presentation to a group of student nurses. Which statement made by the instructor is the most accurate regarding the integumentary system? a. "The sebaceous and sweat glands are fully functional in the infant." b. "The largest organ of the body helps regulate body temperature." c. "The integumentary system is not in place until after the child is born and then takes many years to mature." d. "One role of the integumentary system is to distribute oxygen to the body cells."

b. "The largest organ of the body helps regulate body temperature."

The nurse is speaking with the mother of a child diagnosed with contact dermatitis from poison ivy. Which statement by the mother indicates a need for further education? a. "When he plays in the woods again, I will make sure he wears long pants and long sleeves." b. "As long as he takes a shower as soon as he gets inside, he shouldn't get this again." c. "I can buy a medicine to put on him before he goes out to prevent him from getting this again." d. "I will need to make sure the dog gets a bath if he goes into the woods."

b. "As long as he takes a shower as soon as he gets inside, he shouldn't get this again."

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? a. "I need to wash and rinse clothes thoroughly to be sure all of the detergent is washed out." b. "I should not overdress the infant." c. "I should only use ointments and creams as instructed by the health care provider." d. "I should be certain to use fabric softener in the care of the the infant's clothes."

d. "I should be certain to use fabric softener in the care of the the infant's clothes."

A topical corticosteroid is prescribed for a child with contact dermatitis. Which statement by the mother would indicate the teaching was successful? a. "I should not cover the area with plastic wrap after applying the cream." b. "I should use the highest-potency steroid cream I can find." c. "I need to shake the preparation before using it." d. "I should apply the medicine at bedtime and rinse it off in the morning."

a. "I should not cover the area with plastic wrap after applying the cream."

A 6-year-old child is diagnosed with tinea capitis and treatment is initiated. The nurse instructs the parents to have the child return to school within which time frame? a. 1 week b. 5 days c. 72 hours d. 24 hours

a. 1 week

The client is scheduled to have potassium hydroxide testing performed. What will be needed to complete this test? a. a blood specimen b. a urine specimen c. skin scrapings d. a strand or hair with root attached

c. skin scrapings

The nurse is conducting a primary survey of a 12-year-old child involved in a motor vehicle accident. Which assessment finding most concerns the nurse? a. burns on both of the child's hands b. a broken tibia protruding through the skin c. the presence of stridor d. inability to state name

c. the presence of stridor

A pediatric client was brought to the emergency department by the parents after experiencing extensive urticaria following consumption of a seafood dinner. Upon discharge from the facility the nurse provided client teaching. Which statement by the parents indicate learning occurred? a. "Since our child only had hives, we could allow our child to try seafood again to see if there is a true allergy present." b. "We will give our child an antihistamine and corticosteroid next time we eat seafood." c. "The hives should not last over a couple of days. If they last longer it means we need to contact our physician immediately." d. "We need to get our child a medical alert bracelet as soon as possible in case this happens again."

d. "We need to get our child a medical alert bracelet as soon as possible in case this happens again."

In working with infants diagnosed with atopic dermatitis, the nurse anticipates that when these children are older they will likely have a tendency to have which disorder? a. hemophilia b. asthma c. rheumatoid arthritis d. otitis media

b. asthma