OB/PEDS (Workbook) 37 & 45
_________ function to combat severe infections.
Monocytes
A nurse assessing a 6-month-old girl with an integumentary disorder. The nurse notes three virtually identically sized, round red circles with scaling that are symmetrically spaced on both of the girl's inner thighs. Which should the nurse ask the mother?
"Does she wear sleepers withe metal snaps?
The nurse is providing education to the parents of a 5-year-old with a fever. Which statements indicate the need for further instruction?
"I can administer two baby aspirin tablets to my child every 4 to 6 hours for the fever" "Sponging my child with cold water can be a soothing way to manage the fever" "I should use a cooling fan in my child's room to keep the fever down"
The nurse is providing education to a teenaged boy diagnosed with impetigo. Which statement by the boy indicates the need for further education?
"I will need to cover my son's skin lesions with bandages until it has healed"
The nurse is providing teaching on ways to maintain skin integrity and prevent infection for the parents of a boy with atopic dermatitis. Which response indicates a need for further teaching?
"We should avoid using petroleum jelly"
A nurse is providing teaching on ways to promote skin hydration for the parents of an infant with atopic dermatitis. Which response indicates a need for further teaching?
"We should bathe our child in hot water, twice a day"
A 10-year-old girl with long hair is brought to the emergency room because she began acting irritable, reported a headache, and was very sleepy. Which question is most appropriate for the nurse to ask the parents?
"What were you doing prior to her beginning to feel sick?"
A 16-year-old male who diagnosed with tinea pedis questions the nurse about how he may have contracted the condition. How should the nurse respond?
"You may have gotten the condition from a community shower or a gym area"
Which child needs to be seen immediately in the physician's office?
10-month-old with a fever and petechiae who is grunting
If the rectal temperature of a 2-month-old infant is ______, the child should be seen by a physician.
101°F
Serum _______ may be elevated in the child with atopic dematitis
IgE
_______ function to combat viral infections
Lymphocytes
The nurse is preparing to administer acetaminophen to a 4-year-old girl to provide comfort to the child. Which precaution is specific to antipuretics?
Ensure proper dose and interval
_______ function to combat allergic disorders and parasitic infestations
Eosinophils
Keloid formation occurs more often in _______ children.
dark-skinned
Diaper wearing _____ the skin's pH, activating fecal enzymes that further contribute to skin maceration
decrease
______________ is the term used when describing dry, flaking skin.
scaling
flaking of the skin
scaling
ingested fecal matter
roundworm
______ look like a bull's eye.
target lesions
a fluid-filled bump on the skin
vesicle
The nurse is caring for a 5-year-old girl with scarlet fever. Which intervention will most likely be part of her care?
Teaching proper administration of penicillin V
treatment for mild acne vulgaris
benzoyl peroxide
treatment for psoriasis, atopic dermatitis
coal tar preparations
_______ function to combat bacterial infections
Neutrophils
A 6-year-old is suspected of having a late=stage Lyme disease. Which assessment should the nurse use to produce findings supporting this concern?
Asking the child if his kneed hurt
The pediatric nurse knows that there are a number of anatomic and physiologic differences between children and adults. Which statement about the immune systems of infants and young children is true?
Children have an immature immune response
The nurse is discussing dietary intake with the parents of a 4-year-old child who has been diagnosed with atopic dermatitis. Later, the nurse notes the menu selection made by the parents for the child. Which selection indicates the need for further instruction?
Peanut butter and jelly sandwich
The nurse is caring for a 10-year-old child with a skin rash. The nurse should include which intervention to manage the associated pruritis.
Press the pruritic area
The nurse is developing the plan of care for a 3-year-old child diagnosed with atopic dermatitis. Which client outcomes are common focuses for a child with this diagnosis
Promotion of skin hydration Maintenance of skin integrity Prevention of infection
The nurse at an outpatient facility is obtaining a blood specimen from a 9-year-old girl. Which technique would most likely be used?
Puncturing a vein on the dorsal side of the hand
The nurse is reviewing the assessment data from a 4-year-old admitted to the hospital for management of early onset sepsis. Which finding supports the diagnosis?
The child is irritable
The nurse is administering a chicken pox vaccination to a 12-month-old girl. Which concern is unique to varicella?
This disease can reactivate years later and cause shingles
The nurse is taking a health history for an 8-year-old boy who is hospitalized. Which is a risk factor for sepsis in a hospitalized child?
Use of immunosuppression drugs
A nurse is caring for a child with a wasp sting. Which nursing intervention is priority?
administer diphenhydramine per protocol
Acne neonatorum occurs as a response to the presence of maternal _________.
androgens
The term used to describe a round lesion with central clearing is ______________ .
annular
in a circle or a ring shape
annular
B cells produce specific ________which are specialized immune proteins that bind to and neutralize a specific offending antigen.
antibodies
B cells use ________ to attack specific foreign substances
antibodies
The ______ sweat glands are nonfunction in infants.
apocrine
________ is the time when acute symptoms of illness disappear.
convalescence stage
Seborrhea in infants is commonly referred to as
cradle crap
The body uses a natural antipyretic, called ____________, to maintain body temperature below lethal levels.
cryogens
Children with dark skin tend to have more pronounced _______ compared to children with lighter skin.
cutaneous reactions
The nurse is conducting a physical examination of a child with severe burns. Which internal physiologic manifestation should the nurse expect to occur first?
decrease in cardiac output
Besides keeping fingernails short and clean, parents should use _______________ techniques to keep their child from scratching skin rashes.
distraction
When caring for a child with pertussis, _____ precautions are necessary for the hospitalized child.
droplet
rat flea feces
endemic typhus
___________ is reddening of the skin.
erythema
_____ is a protective mechanism the body uses to fight infection.
fever
______ is an important way to break the chain of infection.
frequent handwashing
Urticaria is a type I __________ reaction
hypersensitivity reaction
Acetaminophen and ________ administered at the appropriate dose and interval, are safe and effective for reducing fever in children
ibuprofen
_______ is the time from entrance of pathogen into the body to appearance of first symptoms
incubation stage
Rickettsiae
infectious agent
The body's __________ response stimulates the release of endogenous pyrogens, resulting in fever.
inflammatory
treatment for cystic acne
isotretinoin
The nurse is conducting a physical examination of a boy with erythema multiform. Which assessment finding should the nurse expect?
lesions over the hands and feet, and extensor surfaces of the extremities with spread to the trunk
The infant's skin is ______ pigmented than that of the adult.
less
During the physical examination, if the child is __________, it may indicate serious infection or sepsis.
lethargic
When skin lesions are present on the scalp, it is important to note whether hair ___________ has occurred.
loss
When skin lesions are present, the nurse should also palate for regional ______________
lymphadenopathy
A ______ is a flat, reddened area on the skin.
macule
The nurse is caring for a 10-month-old with a rash. The child's mother reports that the onset was abrupt. The nurse assesses diffuse erythema and skin tenderness with ruptured bullae in the axillary area with a red weeping surface. The nurse suspects what bacterial infection?
scalded skin syndrome
The _______ glands are functionally immature at birth, develop over time and become functionally during the middle school-age years.
sebaceous
The nurse is examining a child for indications of frostbite and notes blistering with etherma and edema. Rhe nurse notes which degree of frostbite?
second degree frostbite
treatment for burns
silver sulfadiazine 1%
______ often accompanies skin disruptions.
pruritus
The trigger of prostaglandins to increase the body's temperature set point is caused by
pyrogens
Having a designated place to obtain blood specimens or give injections allows the child's hospital room to be a ___________ place.
safe
A rounded, nonpustular elevation of the skin is termed a ___________.
papule
The nurse is discussing the use of over-the-counter ointments to manage a mild case of diaper rash. What ingredients should the nurse instruct the parents to look for in a compound
Vitamin A Zinc Vitamin D
small raised bump on the skin
papule
sexual contact
pediculosis
Monocytes use _________ as a means to eliminate pathogens
phagocytosis
WBCs use ___________to ingest and destroy the pathogen.
phagocytosis
a flat discolored area on the skin
macule
Morbilliform refers to a rosy, _________ rash.
maculopapular
Fomite
mode of transmission
Fever can increase the production of __________ and slow the growth of bacteria and viruses
neutrophils
The student nurse is discussing the plan of care for a child admitted to the hospital for treatment of an infection. Which action should be taken first?
obtain blood cultures
A nurse is caring for a child with tinea pedis. Which assessment finding should the nurse expect?
red scaling rash on soles and between the toes
Animal
reservoir
mouse mite bite
rickettsialpox
The nurse is conducting a primary survey of a child with burns. Which assessment finding points to airway injury from burn or smoke inhalation?
stridor
A 10-year-old boy has an unknown infection and will need to provide a urine specimen for culture and sensitivity. To assure that the sensitivity results are accurate, which step is most important?
Obtain specimen before antibiotics are given