ch. 29 prep u

A child has been hospitalized with a diagnosis of severe impetigo. The nurse is interviewing the family. Which question will have the greatest impact on the child's care? "Is there anything else you think we should know about your family?" "Does your child have any allergies to medications?" "How long has the child had the infection?" "Do you have any concerns about filling the prescriptions?"

"Does your child have any allergies to medications?"

A new parent brings the 3-month-old infant to the clinic for a well-baby check up. During the visit, the parent asks the nurse, "I know the rays from the sun can be harmful, so what should I do to protect my infant?" Which suggestion by the nurse would be most appropriate? "The best thing to do is keep any infant under the age of 6 months out of the sun." "As long as you use a sunscreen, your infant will be protected from the sun." "Invest in clothing that has sun protective factor (SPF) already in the material." "A wide-brimmed hat and an umbrella for shade should be enough for your infant."

"The best thing to do is keep any infant under the age of 6 months out of the sun."

The nurse is teaching the parents of a 5-year-old child diagnosed with head lice about using permethrin. The nurse determines that the teaching was successful based on which statement by the parents? "We should apply the medication to our child's hair and scalp when it is dry." "We need to leave the medication on for about 10 minutes before rinsing it off." "If we use the medicine, we will not have to use the special comb for the nits." "One application of the medication should be enough to get rid of the lice."

"We need to leave the medication on for about 10 minutes before rinsing it off."

An toddler is diagnosed with streptococcal-based impetigo. After teaching the parents about this condition and its treatment, the nurse determines that the teaching was successful based on which statement? "We need to make sure we finish up the entire antibiotic prescription." "We need to stop our child from sucking their thumb." "The steroids should treat the sores pretty well." "We should change the dressing on the sores every day."

"We need to make sure we finish up the entire antibiotic prescription."

n infant is seen in an ambulatory clinic for extensive streptococcal-based impetigo. An important point of care you would teach the mother would be: proper administration of penicillin. avoidance of thumb sucking. good dressing-change technique. proper administration of a topical steroid.

proper administration of penicillin.

A school nurse has discovered that one of the children has acquired a case of head lice. The school principal asks the nurse to write a letter that will be sent to parents explaining about head lice and measures to prevent infestation. What information is important for the nurse to include in the letter? Select all that apply. -Any medicated shampoo may be used to treat head lice. -Parents should inspect their child's head for nits with a fine tooth comb. -Children should avoid sharing personal items such as combs and hats. -A second treatment one week after the first is recommended. -Head lice infestation is the result of poor personal hygiene.

-Children should avoid sharing personal items such as combs and hats. -Parents should inspect their child's head for nits with a fine tooth comb. -A second treatment one week after the first is recommended.

A child weighing 66 lb (30 kg) with deep partial thickness burns is receiving fluid resuscitation. The nurse is monitoring the child's urine output via Foley catheter every hour and documenting the findings on the flowsheet above. The nurse would notify the health care provider about which urine output? 56 ml 80 ml 60 ml 72 ml

56 ml

A nurse is providing care to a child with partial and full thickness burns over 26% of the body. In monitoring the child's output the nurse expects an output of 1 to 2 mL/kg/hr. The nurse has emptied 46 ml from the foley catheter for the past hour. The child weighs 62 lb (28 kg). What action should the nurse take? Increase the intravenous fluid rate to compensate. Notify the health care provider that the output is too low. Check the catheter tubing for any kinks. Document the output and continue to monitor.

Document the output and continue to monitor.