CH. 23 - Nursing care of the child with an alteration in tissue integrity/integumentary disorder

a group of students are preparing for a class exam on skin disorders as part of their preparation they are reviewing information about acne vulgaris and its association with increased sebum production the students demonstrate understanding of the information when they identify which areas as having the highest sebaceous gland activity SATA

- face - upper chest - back

the nurse is caring for a school age child with tinea capitis the child has open lesions from the disease and has lost hair in the areas affected which nursing diagnoses would be a part of this clients care plan SATA

- impaired skin integrity - risk for infection - disturbed body image

the mother of a 15 year old has contacted the clinic to report that her daughter has burned the back of her hand with a curling iron the childs mother reports the burn is mild but states her daughter is complaining of pain. after consulting with the healthcare provider, what instructions can the nurse anticipate will be recommended SATA

- run cool water over the injured area - take acetaminophen using the manufacters guidelines

a nurse is preparing a class for parents of infants about managing diaper dermatitis what advice would the nurse include in the presentation SATA

- using a blow dryer on warm to dry the diaper area - refraining from using rubber pants over diapers

when developing the plan of care for a child with burns requiring fluid replacement therapy, what information would the nurse expect to include

administration of most of the volume during the first 8 hours

the nurse is caring for a child with widespread itching and has recommended bathing as a relief measure after teaching the mother about this which statement from the mother indicates a need for further instructions

after bathing i need to rub his skin everywhere to make sure he is completely dry

the nurse is caring for an infant with candidal diaper rash which topical agent would the nurse expect the healthcare provider to order

antifungals

a nurse is preparing a presentation for a local parent group about burn prevention and care in children what would the nurse be least likely to include in the presentation when describing how to care for the superficial burn

applying ice directly to the burned skin area

a nurse is performing a primary survey on a child who has sustained partial thickness burns over his upper body areas what action should the nurse take first

assess for patent airway

the mother of a 5 year old with eczema is getting a check up for her child before school starts what will the nurse do during the visit

assess the compliance with treatment regimens

the nurse is preparing a class for a group of adolescents about the risk of skin cancer. what information would the nurse include

avoiding sun exposure between the hours 10 am and 2 pm

the nurse is interviewing the mother of a 6 month old being seen at a well child visit the mother reports she has used an over the counter topical ointment intended for adults on her child for a skin rash what is the most appropriate response by the nurse

children have thin skin and can absorb medications differently than adults

a 4 year old is brought to the emergency department with a burn. what would alert the nurse to the possibility of child abuse

clear delineations are noted between burned and nonburned areas

what would the nurse include when teaching an adolescent about tinea pedis

dry the area between your toes really well

a nurse is inspecting the skin of a child with atopic dermatitis what would the nurse expect to observe

dry, red, scaly rash with lichenifcation

a nurse is caring for a 14 year old girl who received an electrical burn the nurse would anticipate preparing the girl for which diagnostic tests as ordered

electrocardiographic monitoring

a 6 year old boy has been admitted to the hospital with burns the nurse nots carbonaceous sputum what action would be the priority

ensuring a patent airway

the nurse is providing parental teaching about home care for an 8 year old boy with widespread sunburn on his back and shoulders which response indicates a need for further teaching

he should manually peel off any flaking of the skin

an instructor is developing a plan for a class of nursing students on various skin disorders when describing urticaria what would the instructor include

histamine release leads to vasodilation

the nurse is teaching the mother of a toddler about burn prevention which response by the mother indicates a need for further teaching

i will set our water heater at 130 degrees

the nurse is caring for a 15 year old boy who has sustained burn injuries the nurse observes the burn developing a purplish color with discharge and foul odor the nurse suspects which infection

invasive burn cellulitis

a teenage girl with psoriasis tells the nurse that she is so embarressed by the plaque on her skin that she doesnt want to go to school what is the best response by the nurse

it must be really difficult for you tell me how you are taking care of your skin on a daily basis

the nurse is conducting a physical examination of a 9 month old baby with a flat discolored area on the skin the nurse documents this as

macule

the nurse is providing care for a 14 year old girl with severe acne the girl expresses sadness and distress about her appearance which response by the nurse would be most appropriate

many people feel this way, i know someone who can help

a 3 year old child has sustained severe burns and is ordered to receive 100% oxygen., what would the nurse use to administer the oxygen

nonrebreather mask

the nurse is caring for a 5 year old in bucks traction when conducting a skin examination for signs of pressure ulcers, the nurse pays particular attention to which area

occiput

a child is diagnosed with atopic dermatitis which laboratory test would the nurse expect the child to undergo to provide additional evidence for this condition

serum immunoglobin E (IgE) level

as part of a clinical conference with a group of nursing students, the instructor is describing the burn classification the instructor determines that the teaching has been successful when the group identifies what as a characteristic of full thickness burns

skin that is leathery and dry with some numbness

after teaching a class about the differences in the skin of infants and adults, the nurse determines that additional teaching is necessary when the class states

the infant has a lower risk for damage from ultraviolet radiation because the skin is more pigmented

the nurse is providing care to a child with folliculitis what would the nurse expect to administer

topical mupirocin

a nurse is assessing the skin of a child with cellulitis what would the nurse expect to find

warmth at skin disruption site