Saunders PEDS SKIN

A 5-week-old infant is brought to the well-baby clinic by the mother because the mother has noted white patches in the infant's mouth. Following examination, the infant is diagnosed with oral candidiasis (thrush). Nystatin oral suspension is prescribed. The mother is concerned because she is breastfeeding the infant and asks the nurse if breastfeeding can be continued. Which response is appropriate?

"Breastfeeding can continue, but your breasts should also be treated with nystatin." If an infant with thrush is being breast-fed, the mother's breasts should also be treated with nystatin.

The nurse is reinforcing instructions to a mother of a child with atopic dermatitis (eczema) regarding the application of topical cortisone cream to the affected skin sites. Which statement made by the mother indicates an understanding of the use of this medication?

"I need to wash the sites gently before I apply the medication."

The nurse is teaching first aid measures to a group of adolescents about appropriate treatment for burns. The nurse should anticipate the need for further teaching when one of the adolescents makes which statement?

"It is appropriate to place butter on the burn." It is appropriate to remove burned clothing and any jewelry from a burned victim. Burned clothing is removed to prevent further damage from smoldering fabric and hot beads of melted synthetic materials. Jewelry is removed to eliminate the transfer of heat from the metal and to prevent constriction resulting from edema formation. This also provides access to the wound and prevents painful removal later. The victim should be placed in a horizontal position and kept warm. Remaining in the vertical position may cause the hair to ignite or the inhalation of flames, heat, or smoke.

The nurse is providing discharge teaching regarding skin care to a new mother of a 2-day-old infant. Which statements by the mother demonstrate an understanding of how to care for the infant's skin? Select all that apply.

2."We will apply ointments containing zinc oxide to the baby's bottom to prevent diaper rash." 3."To prevent diaper rash, we will change our baby's diaper as soon as he has pooped or peed."

The nurse caring for a child who sustained a burn injury plans care based on which pediatric considerations associated with this injury? Select all that apply.

A.A delay in growth may occur after a burn injury. B*.An immature immune system presents an increased risk of infection for infants and young children. .C*Infants and young children are at increased risk for protein and calorie deficiency because they have smaller muscle mass and less body fat than adults. care of a burn victim Scarring is more severe in a child than in an adult. A delay in growth may occur after a burn injury. An immature immune system presents an increased risk of infection for infants and young children. The higher proportion of body fluid to body mass in a child increases the risk of cardiovascular problems. Burns involving more than 10% of total body surface area require some form of fluid resuscitation. Infants and young children are at increased risk for protein and calorie deficiencies because they have smaller muscle mass and less body fat than adults.

A topical corticosteroid is prescribed by the primary health care provider for a child with atopic dermatitis (eczema). Which instruction should the nurse give the parent about applying the cream?

Apply a thin layer of cream and rub it into the area thoroughly

A 4-year-old child is being transported to the trauma center from a local community hospital for treatment of a burn injury that is estimated as covering over 40% of the body. The burns are partial- and full-thickness burns. The nurse is asked to prepare for the arrival of the child and gathers supplies anticipating that which will be prescribed initially

Insertion of a Foley catheter

The nurse is caring for a child who was burned in a house fire. The nurse assists in developing a plan of care for monitoring the child during the treatment for burn shock. The nurse identifies which assessment as providing the most accurate guide to determine the adequacy of fluid resuscitation?

LOC The sensorium, or level of consciousness, is an important guide to the adequacy of fluid resuscitation. The burn injury itself does not affect the sensorium, so the child should be alert and oriented. Any alteration in sensorium should be evaluated further. A neurological assessment would determine the level of consciousness in the child.

The nurse in a primary health care provider's office receives a telephone call from the mother of a child who tells the nurse that the child was just stung by a bee. The mother asks the nurse for instructions regarding removal of the stinger. Which instruction should the nurse reinforce to the mother?

Remove the stinger by carefully scraping it out horizontally. The stinger from a bee should be removed carefully by scraping it out horizontally. The mother should be instructed to avoid squeezing the stinger because more venom will be released. Following removal of the stinger, the area is washed with soap and water, and ice may be applied for discomfort.

A camp nurse is reinforcing instructions to the parents of the children who are attending a daytime camp for the summer. The nurse instructs the parents to check their child daily for the presence of tick bites and tells the parents that if a tick is found to do which action first?

Suffocate the tick with a substance such as nail polish. The method to remove ticks includes suffocating the tick with nail polish, petroleum jelly, or oil, and waiting 30 minutes. The tick is then removed with tweezers, taking care to remove the head. If mouth parts remain, they are removed with a sterile needle. The area is then washed with soap and water.

The nurse is assisting in performing pediculosis capitis checks. Which finding indicates that a child has a "positive" head check?

White sacs attached to the hair shafts in the occipital area The nits are visible and attached firmly to the hair shaft near the scalp. The occiput is an area in which nits can be seen.

16-year-old client presents to the dermatology clinic with a diagnosis of acne vulgaris. The client says to the nurse, "I don't know what else to do! I wash my face twice a day. I wear noncomedogenic makeup. I shower after I work out. I guess I'm just going to have acne on my face forever." Which responses by the nurse would be appropriate? Select all that apply.

You feel like there's nothing else you can do to cure your acne." "You seem frustrated by your acne. Please tell me what it is about your acne that is frustrating."