Peds - Integ

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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."

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 breast-feeding the infant & asks the nurse if breast-feeding can be continued. Which response is appropriate?

"You should bottle-feed the infant for 1 week & then resume breast-feeding."

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.

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

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 nurse in a HCP'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.

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 & tells the parents that if a tick is found to do which action 1st?

Suffocate the tick with a substance such as nail polish

The 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 most 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."


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