Peds integumentary

When assessing a client with cellulitis of the right leg, which finding should the nurse expect to observe? A-painful skin that is swollen and pale in color B-cold, red skin C-small, localized blackened area of skin D-red, swollen skin with inflammation spreading to surrounding tissues

D

A child with 20% second- and third-degree burns is admitted to the burn center. The child weighs 44 lb (20 kg). The nurse has started an IV infusion of lactated Ringer solution and inserted an indwelling catheter. Which of the findings indicate that the child is going into shock? Select all that apply. A-Urinary output is 25 ml/hr. B-Specific gravity is within normal limits. C-Pain is 7 on a pain scale of 1 to 10. D-Heart rate is elevated. E-Blood pressure is dropping.

D E

A 9-month-old infant is ordered 5% permethrin to treat scabies. When teaching the caregiver about the medication, what would be most important to include? A-Only apply the topical treatment once in 14 days. B-Do not shower or bathe for 24 hours after application. C-Wear loose fitting clothes as the cream dries. D-It is normal for this cream to cause painful burning and stinging of the skin.

A

A parent asks the nurse if the lesions around her child's mouth could be impetigo. What manifestations would verify the parent's suspicion? A-honey-colored crusts, vesicles, and reddish maculae on the skin B-erythema and formation of pus around hair follicles C-increased warmth, intense redness, swelling, and firmness of the skin D-macular erythema with a sandpaper-like texture of the skin

A

A young adult has been bitten by a human, and the skin on the forearm is broken. The client's last tetanus shot was about 8 years ago. What should the nurse tell the client about the anticipated treatment plan? A-"You'll need an injection of tetanus toxoid." B-"The health care provider will prescribe corticosteroid cream." C-"The wound will need to be closed with sutures." D-"You'll need to be tested for rabies."

A

The nurse is assigning a room for a client admitted with hepatitis A. Which diagnosis would be an appropriate roommate for this client? A-postoperative hip arthroplasty B-varicella C-congestive heart failure D-pneumonia

C

A school-age child with a dog bite is brought to the emergency department by the parents. What is the nurse's priority action? A-Determine the child's vaccination history. B-Interview the parents about the incident. C-Clean and irrigate the bite wounds. D-Notify the health care provider for antibiotic prescription.

C

The nurse is caring for a child with moderate burns from the waist down. Which measure should the nurse implement when positioning the child? A-Place the child in a position of comfort. B-Allow the child to lie on the abdomen. C-Ensure the application of leg splints. D-Have the child flex the hips and knees.

C

A pediatric client comes to the clinic and is being prescribed a medication. The clinic nurse is working with a student nurse and asks the student nurse, "What calculation methods are appropriate to use in this case?" What is the most appropriate response by the student nurse? Select all that apply. A-mg/kg B-height C-skin calipers D-BSA. E-body fat

A D

A client is diagnosed with contact dermatitis. Which medication should the nurse expect to be prescribed to treat this disorder? A-intravenous corticosteroid B-intravenous antibiotic C-oral antibiotic D-topical corticosteroid

D

A client tells a nurse that about a rash on the back and right flank. The nurse observes elevated, round, blister-like lesions filled with clear fluid. When documenting the findings, what medical term would the nurse use to describe these lesions? A-pustules B-papules C-plaque D-vesicles

D

A child has been exposed to varicella. Which precaution should the nurse institute for infection control? A-airborne precautions B-droplet precautions C-contact precautions D-indirect contact precautions

A

The nurse is performing an assessment on a child diagnosed with impetigo. How should the nurse document these assessment findings? Select all that apply. A-lesions filled with pus B-reddened patches with sharply marginated, irregular outlines C-pustules with a yellowish-brown D-crust serous-filled lesions greater than 0.5 cm E-reddened patches of skin covered with silvery scales F-reddish macule

A B C F

The nurse is assessing a client who has suspected frostbite. Which assessment findings would be consistent with this diagnosis? Select all that apply. A-reddened skin that turns white or pale with tingling, numbness, and a burning sensation B-mottled or cyanotic skin C-raised pink or red papules blisters that appear in 24 to 36 hours D-a flat, flesh-colored, or brown scar-like lesion

A B D

The nurse is assessing a 9-year-old child admitted to the hospital with second degree partial-thickness burns to 25% of the body. What would the nurse expect to assess? Select all that apply. A-report of moderate to severe pain B-moist blebs, blisters C-minimal damage to the epidermis D-necrosis through all layers of skin tissue E-necrosis through most of the dermis F-mottled white, pink to cherry-red color

A B E F

The nurse is conducting an assessment on a client that has acute irritant contact dermatitis. What signs and symptoms would the nurse expect to see upon assessment? Select all that apply. A-edema B-rhinitis C-cracked skin D-blisters E-redness

A E

A 9-year-old is brought to the emergency department with extensive burns sustained in a restaurant fire. What is the nurse's most important intervention? A-Administer prescribed antibiotics to prevent superimposed infections. B-Conduct a wound assessment. C-Administer liquids orally to replace lost fluid. D-Administer frequent, small meals to support nutritional requirements.

B

A charge nurse is completing client assignments for the nursing staff on the pediatric unit. Which client would the nurse refrain from assigning to a pregnant staff member? A-a 6-year-old with ringworm B-a 3-month-old with Roseola C-an 8-year-old with Rubella D-a 2-year-old with Kawasaki's disease

C

A 7-year-old client with facial cellulitis is admitted to the hospital for observation and administration of a 10-day course of intravenous (IV) antibiotics. Which interventions would help this client cope with the insertion of a peripheral IV line? Select all that apply. A-Explain the procedure to the child immediately before the procedure. B-Apply a topical anesthetic to the IV site before the procedure. C-Ask the child which hand is used for drawing. D-Explain the procedure to the child using abstract terms. E-Block the child's view of the equipment to be used in the procedure. F-Tell the child that the procedure will not hurt.

B C

The mother of a 2-year-old who has been bitten by the family dog asks the nurse what to do about the bite, which appears to be a minor injury. What should the nurse tell the mother? A-"You need to take the child to the local urgent-care center immediately." B-"Wash the bite area with lots of running water, and then call your health care provider (HCP)." C-"Determine when the child's latest tetanus vaccine was administered." D-"Make an appointment to see the child's health care provider (HCP) now to start rabies shots."

B

When caring for a client with severe impetigo, the nurse should include which intervention in the care plan? A-placing mitts on the client's hands B-administering systemic antibiotics as ordered C-applying topical antibiotics as ordered D-continuing to administer antibiotics for 21 days as ordered

B

Which statement by a parent whose child was just diagnosed with pediculosis capitis (head lice) demonstrates an understanding of the safety and efficacy of the common medications used to treat the infection? A-"I am going to request a prescription for lindane since it works the best." B-"After I shampoo, I will use the special comb to get the nits out." C-"Most over the counter lice treatments are100% effective at killing all the eggs." D-"I can give a second treatment the next day if any lice remain."

B

What desired effect can the nurse expect after administering an antihistamine to a pediatric client with a disorder of the skin? Select all that apply. A-sedation B-decreased itching C-less skin irritation D-hyperactivity E-increased appetite

B C

During nursing rounds, a nurse checks on a client on bed rest who reports an itchy rash. The nurse assesses the client's skin for erythematous, slightly edematous areas on the client's back, posterior lower legs, and posterior elbows. The health care provider's diagnosis is an allergic contact dermatitis. Which teaching points about contact dermatitis are correct? Select all that apply. A-The disorder is contagious. B-This is an allergic reaction. C-Based on the location, it is likely that detergents in the bed linens caused the rash. D-The skin is infected wherever the rash has developed. E-Oatmeal (Aveeno) baths are a good treatment for a rash of this type because of the large area involved. F-Washing with antibacterial soap will help the rash.

B C E

A child with partial- and full-thickness burns is admitted to the pediatric unit. What should be the priority at this time? A-preventing wound infections B-evaluating vital signs frequently C-maintaining fluid and electrolyte balance D-managing the child's pain

C

The nurse is treating an 8-month-old infant with scabies. What medication would the nurse prepare to administer for this infant? A-griseofulvin B-tolnaftate C-thiabendazole D-permethrin

D

A nurse is examining a client's scalp for evidence of lice. The nurse should pay particular attention to which part of the scalp? A-temporal area B-top of the head C-behind the ears D-middle area

C

A client presents at the health care provider's office with gray-brown burrows with epidermal curved ridges and follicular papules of the skin. The health care provider diagnoses scabies. Which teaching points would a nurse review with the client? Select all that apply. A-the disease is actively contagious only when the lesions are open. B-Scabies is transmitted by close person-to-person contact or contact with infected linens and clothing. C-The most commonly infected areas are the scalp and neck. D- Severe itching of the affected areas, especially at night, is a common finding. E-Only the infected individual needs to use the prescribed medication. F-All of the client's linens and clothing should immediately be washed in hot water.

B D F

A school-age child brought to the clinic with several superficial sores on the front of the left leg is diagnosed with impetigo. Which instructions should the nurse give the parent? A-Wash the child's legs gently once a day with a mild soap. B-Cover the sores with loose gauze. C-Allow the child to go back to school after 24 hours of treatment. D-Have the child return to the clinic the next week for a follow-up examination.

C

A school-age child is diagnosed with pediculosis. The parent is concerned about the spread of the lice to children who have been in contact with her child. What should the nurse instruct the parent to have her child avoid? A-sharing craft supplies B-having contact during a swimming class C-sharing batting helmets D-showering after football practice

C

A young client develops a fever and rash and is diagnosed with rubella. The client's mother has just given birth to another child. Which statement by the mother best indicates that she understands the implications of rubella? A-"I told my partner to give the client aspirin for the fever." B-"I'll ask the physician about giving the baby an immunization shot." C-"I don't have to worry because I've had the measles." D-"I'll call my neighbor who's 2 months pregnant and tell her not to have contact with my children."

D

A school nurse is examining a student at an elementary school. Which findings would lead the nurse to suspect impetigo? A-small, red lesions on the trunk and in the skin folds B-a discrete pink-red maculopapular rash that starts on the head and progresses down the body C-red spots with a blue base found on the buccal membranes D-vesicular lesions that ooze, forming crusts on the face and extremities

D