Chapter 38 Maternity

Which should the nurse include in the plan of care for a child with a minor burn to enhance nutrition and healing?

Protein

Which finding noted by the nurse while conducting pediculosis capitis ( head lice) checks indicates the need for treatment

Silver/ white sacs attached to the hair shafts in the occipital area

Which preventive strategies for tinea pedis, a fungal infection also known as athletes's foot, should the nurse include in a teaching session for an adolescent client?

Wear white, 100 % cotton socks, changed twice a day Use talc on the feet daily Wear foot covers such as flip flops in the locker room and shower

A 10 year old child is admitted to the hospital following an accident at school that resulted in a puncture wound of the abdomen. Two days after the injury, the child continues in the inflammation phase of healing. What does the nurse expect to see while changing the child's dressing and assessing the wound?

A blood clot has formed, sealing the wound

Which nursing action is accurate when applying a 5 % permethrin lotion to a toddler with scabies ?

Applying the lotion to the scalp, ther forehead, and everywhere below the chin

Which skin condition should the nurse identify as having a genetic or inheriated component during a presentation to the staff nurse who work in the integument clinic

Atopic dermatitis Epidermolysis bullosa Psoriasis

Which is the most likely cause for a bright red perianal inflammation with scaly plaques and small papules noted by the nurse during the assessment of a 12 month old infant

Candida albicans (yeast)

The nurse explains to the parents of a child with a severe burn that wearing an elastic pressure garment ( Jobst stocking ) during the rehabilitative stage can help prevent which complication?

Hypertrophic scarring

Which parental statement regarding preventive strategies for insect bites an stings indicates the need for further teaching?

If my child wears bright colors and floral prints when outdoors, she will blend in with the surroundings, and the stinging insects will not sting her.

The nurse is providing care to a child diagnosed with impetigo . The child's parents ask what caused this to occur. Which organism does the nurse include when educating the parents about impetigo?

Staphylococcus aureus

The pediatric nurse is providing a preschool aged child's mother with information regarding impetigo. The mother is concerned about the possibility of passing the infection on to her other toddler- aged child. Which response by the nurse is most appropriate in this situation?

To decrease the chance of exposing your younger child, both children must have all of their linens, towels, and toys washed to prevent the spread disease. In addition it is best to wash everyone's hands well

Which parental statement indicates to the nurse an accurate understanding regarding the care of a child with tinea capitis ( ringworm of the scalp)

We will give the griseofulvin with milk or peanut butter

A toddler pulled a pot of boiling water off the stove and suffered partial and full thickness burns to the chest. The child is now in the recovery management phase of burn treatment. Which common complication should the nurse assess this client for on the basis of the current data?

Wound infection

Which topics should be included in a teaching session with parents of school aged children to prevent sunburn?

Playing in the shade Wearing a hat while outdoors Using sunscreen with an SPF of 30 or higher

Which is the priority intervention when planning care for an infant who is diagnosed with eczema?

Preventing infection of lesions

The pediatric nurse is assessing a wound on a preschool aged child's leg and notes that the site is pink with the formation of new epithlial cells. Based on these data, which term does the nurse use to describe the current stage of healing?

Proliferation

During the assessment of a child, the nurse notices the presence of vesicles that are oozing yellow fluid. Which term does the nurse use when documenting this finding in themedical record?

Pustule

Which adolescent statements indicate the need for further education related to the prevention and treatment of acne?

I should stay away form greasy foods such as pizza I should shampoo my hair only once per week I should use my topical medication only when acne is present

The nurse is teaching the parents of an infant diagnoses with candidiasis in the diaper area how to treat this occurrence and decrease the risk for future occurrences. Which teaching point does the nurse include in the teaching session?

Keeping the diaper area as dry as possible

Which is the priority nusing intervention for a 4 year old patient brought to the emergency department for treatment of frostbite?

administer analgesics