PEDS Chapter 23 Skin

The nurse is caring for a child with widespread itching and has recommended bathing as a relief measure. After teaching the mother about this, which statement from the mother indicates a need for further instruction?

"After bathing I need to rub his skin everywhere to make sure he is completely dry"

The nurse is interviewing the mother of a 6-month-old being seen at a well-child visit. The mother reports she has used an over-the-counter topical ointment intended for adults on her child for a skin rash. What is the most appropriate response by the nurse?

"Children have thin skin and can absorb medications differently than adults."

What would the nurse include when teaching an adolescent about tinea pedis?

"Dry the area between your toes really well"

The nurse is providing parental teaching about home care for an 8-year-old boy with widespread sunburn on his back and shoulders. Which response indicates a need for further teaching?

"He should manually peel off any flaking skin"

The nurse is teaching the mother of a toddler about burn prevention. Which response by the mother indicates a need for further teaching?

"I will set our water heater for 130 degrees"

A teenage girl with psoriasis tells the nurse that she is so embarrassed by the plaque on her skin that she doesn't want to go to school. What is the best response by the nurse?

"It must be really difficult for you. Tell me how you are taking care of your skin on a daily basis."

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

"Many people fell this way, I know someone who can help"

After teaching a class about the differences in the skin of infants and adults, the nurse determines that additional teaching is necessary when the class states:

"The infant has a lower risk for damage from ultraviolet radiation because the skin is more pigmented."

When developing the plan of care for a child with burns requiring fluid replacement therapy, what information would the nurse expect to include?

Administration of most of the volume during the first 8 hours

The nurse is caring for an infant with candidal diaper rash. Which topical agent would the nurse expect the physician to order?

Antifungals

A nurse is preparing a presentation for a local parent group about burn prevention and care in children. What would the nurse be least likely to include in the presentation when describing how to care for a superficial burn?

Applying ice directly to the burned skin area

A nurse is performing a primary survey on a child who has sustained partial thickness burns over his upper body areas. What action should the nurse take first?

Assess for a patent airway

The nurse is preparing a class for a group of adolescents about reducing the risk of skin cancer. What information would the nurse include?

Avoiding sun exposure between the hours of 10am-2pm

A 4-year-old is brought to the emergency department with a burn. What would alert the nurse to the possibility of child abuse?

Clear delineations are noted between burned and nonburned skin areas.

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

A nurse is caring for a 14-year-old girl who received an electrical burn. The nurse would anticipate preparing the girl for which diagnostic tests as ordered?

Electrocardiographic monitoring

A 6-year-old boy has been admitted to the hospital with burns. The nurse notes carbonaceous sputum. What action would be the priority?

Ensuring a patent airway

A group of students are preparing for a class exam on skin disorders. As part of their preparation, they are reviewing information about acne vulgaris and its association with increased sebum production. The students demonstrate understanding of the information when they identify which areas as having the highest sebaceous gland activity? Select all that apply.

Face Upper chest Back

An instructor is developing a plan for a class of nursing students on various skin disorders. When describing urticaria, what would the instructor include?

Histamine release leads to vasodilation

The nurse is caring for a school-age child with tinea captitis. The child has open lesions from the disease and has lost hair in the areas affected. Which nursing diagnoses would be a part of this patient's care plan? Select all that apply.

Impaired skin integrity Risk for infection Disturbed body image

The nurse is caring for a 15-year-old boy who has sustained burn injuries. The nurse observes the burn developing a purplish color with discharge and a foul odor. The nurse suspects which infection?

Invasive burn cellulitis

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

A 3-year-old child has sustained severe burns and is ordered to receive 100% oxygen. What would the nurse use to administer the oxygen?

Nonrebreather mask

A nurse is caring for a 5-year-old in Buck traction. When conducting a skin examination for signs of pressure ulcers, the nurse pays particular attention to which area?

Occiput

The mother of a 15-year-old girl has contacted the clinic to report that her daughter has burned the back of her hand with a curling iron. The child's mother reports the burn is mild but states her daughter is complaining of pain. After consulting with the physician, what instructions can the nurse anticipate will be recommended? Select all that apply.

Run cool water over the injured area. Take acetaminophen using the manufacturer's guidelines.

A child is diagnosed with atopic dermatitis. Which laboratory test would the nurse expect the child to undergo to provide additional evidence for this condition?

Serum immunoglobulin E (IgE) level

As part of a clinical conference with a group of nursing students, the instructor is describing the burn classification. The instructor determines that the teaching has been successful when the group identifies what as characteristic of full thickness burns?

Skin that is leathery and dry with some numbness

The nurse is providing care to a child with folliculitis. What would the nurse expect to administer?

Topical mupirocin

A nurse is preparing a class for parents of infants about managing diaper dermatitis. What advice would the nurse include in the presentation? Select all that apply.

Using a blow dryer on warm to dry the diaper area Refraining from using rubber pants over diapers

A nurse is assessing the skin of a child with cellulitis. What would the nurse expect to find?

Warmth at skin disruption site