Pediatric Skin Disorders

The nurse is teaching parents about the care of diaper rash. The nurse would be concerned about the parents' level of understanding if they made which statement?

"I should be certain to use fabric softener in the care of the infant's clothes."

Sunscreen is not recommended until what age?

6 months

The nurse is assessing a child who has had an open wound for the last 2 weeks with no signs of healing. What is it?

Community Acquired MRSA

Atopic dermatitis

Eczema

The nurse is caring for a child with a second-degree (partial-thickness) burn. What assessment findings would the nurse expect to observe?

Edema with wet blistering skin

What burn would only involve the epidermis?

First degree

What burn would extend even deeper into the fat layer?

Fourth degree

What accurately depicts the hemodynamic changes that occur in the body within the first 24 to 48 hours after a burn?

Hematocrit and white blood cell (WBC) counts increase.

Which intervention is the most beneficial for a burn client undergoing a skin graft?

Provide around the clock pain meds as soon as pain is reported

A young child has just been admitted to the emergency department with a burn that encompasses the epidermis and the underlying dermis. From which type of burn does this child suffer?

Second degree or partial thickness burn

What burn would involve nerve endings as well as destruction of the epidermis and dermis?

Third Degree

Client has dandruff what is your advice?

Wash your hair daily with gentle shampoo

The nurse is caring for a child brought to a pediatric clinic for swelling in the lower extremities. The skin is reddened with undefined borders and pits slightly when pressed. Based on the assessment findings, which of the following would the nurse suspect?

cellulitis

Erythema multiforme

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

The nurse caring for a child with a skin allergy recognizes that the highest priority in the treatment for skin allergies is aimed at:

reducing swelling and relieving itching.

Impetigo

skin infection red sores around mouth and nose

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."

A parent expresses a concern about white scales that have begun to flake off the 1-week-old infant's scalp. The parent asks, "What can I do to prevent this?" Which response by the nurse would be most appropriate?

"Your child most likely has infantile seborrheic dermatitis, or cradle cap. You can care for it by cleansing the hair and scalp daily with baby shampoo. You can also apply baby oil to the area for 10 to 15 minutes and then rinse away the flakes."