PEDS Alteration in tissue

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).

A nurse is providing care to a 13-year-old client hospitalized with deep partial- and full-thickness (deep second-degree and third-degree) burns on the neck, torso and arms. The nurse attempts to begin a treatment, but the client refuses and angrily tells the nurse "What is the point in all this? I will never be the same again!" What action should the nurse take?

Acknowledge that the client is upset and offer to talk about feelings.

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?

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

An 8-year-old child requires wet dressings four times a day as treatment for a skin disorder. What would be most important for the nurse to do?

Premedicate the child before changing the dressing.

A 5-year-old child has been diagnosed with tinea corporis. What is the recommendation for this child with regard to attending school?

Recommendation to remain home from school until medication therapy has been initiated.

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."

The nurse is caring for a client brought to a pediatric clinic for swelling in the lower extremities with reddened skin that has undefined borders and pits slightly when pressed. What is the most likely diagnosis of the client's skin alteration?

cellulitis

The nurse is assessing a child who has had an open wound for the last 2 weeks with no signs of healing. The parents report they have been using over-the-counter antibiotic ointment with no signs of improvement. The child is active in football in the fall and the swim team in the winter. What disorder does the nurse suspect?

community acquired MRSA

An adolescent girl is going to be treated for a severe case of acne vulgaris. A pregnancy test should be done prior to the adolescent starting treatment with:

isotretinoin.

The nurse is caring for a 7-year-old with burns. Which finding would be highly suggestive of a burn induced by child abuse (child maltreatment)?

stocking-glove pattern on hands or feet