OB/PEDS (Workbook) 37 & 45

_________ function to combat severe infections.

Monocytes

A nurse assessing a 6-month-old girl with an integumentary disorder. The nurse notes three virtually identically sized, round red circles with scaling that are symmetrically spaced on both of the girl's inner thighs. Which should the nurse ask the mother?

"Does she wear sleepers withe metal snaps?

The nurse is providing education to the parents of a 5-year-old with a fever. Which statements indicate the need for further instruction?

"I can administer two baby aspirin tablets to my child every 4 to 6 hours for the fever" "Sponging my child with cold water can be a soothing way to manage the fever" "I should use a cooling fan in my child's room to keep the fever down"

The nurse is providing education to a teenaged boy diagnosed with impetigo. Which statement by the boy indicates the need for further education?

"I will need to cover my son's skin lesions with bandages until it has healed"

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"

A nurse is providing teaching on ways to promote skin hydration for the parents of an infant with atopic dermatitis. Which response indicates a need for further teaching?

"We should bathe our child in hot water, twice a day"

A 10-year-old girl with long hair is brought to the emergency room because she began acting irritable, reported a headache, and was very sleepy. Which question is most appropriate for the nurse to ask the parents?

"What were you doing prior to her beginning to feel sick?"

A 16-year-old male who diagnosed with tinea pedis questions the nurse about how he may have contracted the condition. How should the nurse respond?

"You may have gotten the condition from a community shower or a gym area"

Which child needs to be seen immediately in the physician's office?

10-month-old with a fever and petechiae who is grunting

If the rectal temperature of a 2-month-old infant is ______, the child should be seen by a physician.

101°F

Serum _______ may be elevated in the child with atopic dematitis

IgE

_______ function to combat viral infections

Lymphocytes

The nurse is preparing to administer acetaminophen to a 4-year-old girl to provide comfort to the child. Which precaution is specific to antipuretics?

Ensure proper dose and interval

_______ function to combat allergic disorders and parasitic infestations

Eosinophils

Keloid formation occurs more often in _______ children.

dark-skinned

Diaper wearing _____ the skin's pH, activating fecal enzymes that further contribute to skin maceration

decrease

______________ is the term used when describing dry, flaking skin.

scaling

flaking of the skin

scaling

ingested fecal matter

roundworm

______ look like a bull's eye.

target lesions

a fluid-filled bump on the skin

vesicle

The nurse is caring for a 5-year-old girl with scarlet fever. Which intervention will most likely be part of her care?

Teaching proper administration of penicillin V

treatment for mild acne vulgaris

benzoyl peroxide

treatment for psoriasis, atopic dermatitis

coal tar preparations

_______ function to combat bacterial infections

Neutrophils

A 6-year-old is suspected of having a late=stage Lyme disease. Which assessment should the nurse use to produce findings supporting this concern?

Asking the child if his kneed hurt

The pediatric nurse knows that there are a number of anatomic and physiologic differences between children and adults. Which statement about the immune systems of infants and young children is true?

Children have an immature immune response

The nurse is discussing dietary intake with the parents of a 4-year-old child who has been diagnosed with atopic dermatitis. Later, the nurse notes the menu selection made by the parents for the child. Which selection indicates the need for further instruction?

Peanut butter and jelly sandwich

The nurse is caring for a 10-year-old child with a skin rash. The nurse should include which intervention to manage the associated pruritis.

Press the pruritic area

The nurse is developing the plan of care for a 3-year-old child diagnosed with atopic dermatitis. Which client outcomes are common focuses for a child with this diagnosis

Promotion of skin hydration Maintenance of skin integrity Prevention of infection

The nurse at an outpatient facility is obtaining a blood specimen from a 9-year-old girl. Which technique would most likely be used?

Puncturing a vein on the dorsal side of the hand

The nurse is reviewing the assessment data from a 4-year-old admitted to the hospital for management of early onset sepsis. Which finding supports the diagnosis?

The child is irritable

The nurse is administering a chicken pox vaccination to a 12-month-old girl. Which concern is unique to varicella?

This disease can reactivate years later and cause shingles

The nurse is taking a health history for an 8-year-old boy who is hospitalized. Which is a risk factor for sepsis in a hospitalized child?

Use of immunosuppression drugs

A nurse is caring for a child with a wasp sting. Which nursing intervention is priority?

administer diphenhydramine per protocol

Acne neonatorum occurs as a response to the presence of maternal _________.

androgens

The term used to describe a round lesion with central clearing is ______________ .

annular

in a circle or a ring shape

annular

B cells produce specific ________which are specialized immune proteins that bind to and neutralize a specific offending antigen.

antibodies

B cells use ________ to attack specific foreign substances

antibodies

The ______ sweat glands are nonfunction in infants.

apocrine

________ is the time when acute symptoms of illness disappear.

convalescence stage

Seborrhea in infants is commonly referred to as

cradle crap

The body uses a natural antipyretic, called ____________, to maintain body temperature below lethal levels.

cryogens

Children with dark skin tend to have more pronounced _______ compared to children with lighter skin.

cutaneous reactions

The nurse is conducting a physical examination of a child with severe burns. Which internal physiologic manifestation should the nurse expect to occur first?

decrease in cardiac output

Besides keeping fingernails short and clean, parents should use _______________ techniques to keep their child from scratching skin rashes.

distraction

When caring for a child with pertussis, _____ precautions are necessary for the hospitalized child.

droplet

rat flea feces

endemic typhus

___________ is reddening of the skin.

erythema

_____ is a protective mechanism the body uses to fight infection.

fever

______ is an important way to break the chain of infection.

frequent handwashing

Urticaria is a type I __________ reaction

hypersensitivity reaction

Acetaminophen and ________ administered at the appropriate dose and interval, are safe and effective for reducing fever in children

ibuprofen

_______ is the time from entrance of pathogen into the body to appearance of first symptoms

incubation stage

Rickettsiae

infectious agent

The body's __________ response stimulates the release of endogenous pyrogens, resulting in fever.

inflammatory

treatment for cystic acne

isotretinoin

The nurse is conducting a physical examination of a boy with erythema multiform. Which assessment finding should the nurse expect?

lesions over the hands and feet, and extensor surfaces of the extremities with spread to the trunk

The infant's skin is ______ pigmented than that of the adult.

less

During the physical examination, if the child is __________, it may indicate serious infection or sepsis.

lethargic

When skin lesions are present on the scalp, it is important to note whether hair ___________ has occurred.

loss

When skin lesions are present, the nurse should also palate for regional ______________

lymphadenopathy

A ______ is a flat, reddened area on the skin.

macule

The nurse is caring for a 10-month-old with a rash. The child's mother reports that the onset was abrupt. The nurse assesses diffuse erythema and skin tenderness with ruptured bullae in the axillary area with a red weeping surface. The nurse suspects what bacterial infection?

scalded skin syndrome

The _______ glands are functionally immature at birth, develop over time and become functionally during the middle school-age years.

sebaceous

The nurse is examining a child for indications of frostbite and notes blistering with etherma and edema. Rhe nurse notes which degree of frostbite?

second degree frostbite

treatment for burns

silver sulfadiazine 1%

______ often accompanies skin disruptions.

pruritus

The trigger of prostaglandins to increase the body's temperature set point is caused by

pyrogens

Having a designated place to obtain blood specimens or give injections allows the child's hospital room to be a ___________ place.

safe

A rounded, nonpustular elevation of the skin is termed a ___________.

papule

The nurse is discussing the use of over-the-counter ointments to manage a mild case of diaper rash. What ingredients should the nurse instruct the parents to look for in a compound

Vitamin A Zinc Vitamin D

small raised bump on the skin

papule

sexual contact

pediculosis

Monocytes use _________ as a means to eliminate pathogens

phagocytosis

WBCs use ___________to ingest and destroy the pathogen.

phagocytosis

a flat discolored area on the skin

macule

Morbilliform refers to a rosy, _________ rash.

maculopapular

Fomite

mode of transmission

Fever can increase the production of __________ and slow the growth of bacteria and viruses

neutrophils

The student nurse is discussing the plan of care for a child admitted to the hospital for treatment of an infection. Which action should be taken first?

obtain blood cultures

A nurse is caring for a child with tinea pedis. Which assessment finding should the nurse expect?

red scaling rash on soles and between the toes

Animal

reservoir

mouse mite bite

rickettsialpox

The nurse is conducting a primary survey of a child with burns. Which assessment finding points to airway injury from burn or smoke inhalation?

stridor

A 10-year-old boy has an unknown infection and will need to provide a urine specimen for culture and sensitivity. To assure that the sensitivity results are accurate, which step is most important?

Obtain specimen before antibiotics are given