INTEGUMENTARY (NEW)
A 6-month-old child has developed skin irritation due to an allergic reaction. He has been prescribed a topical skin ointment. The nurse will consider which of the following before administering the drug? A. That the infant's skin has greater permeability than that of an adult B. That there is less body surface area to be concerned about. C. That there is decreased absorption rates of topical drugs in infants. D. That there is a lower concentration of water in an infant's body compared with an adult.
A
The nurse is doing an in-service training on clinical manifestations seen in communicable diseases. Which skin condition best describes erythema? A. Redness of the skin produced by congestion of the capillaries B. Small, circumscribed, solid elevation of the skin C. Discolored skin spot not elevated at the surface D. Small elevation of epidermis filled with a viscous fluid
A
The nurse is teaching a group of parents about head lice. Which statement is essential to include during the presentation? A. Head lice are becoming very resistant to treatment. B. Send your child to school even if you suspect head lice, but have the school nurse check the child. C. Discourage the children from going to sleepovers. D. Wash the bed linens in hot water to kill the lice.
A
Which of the following is the most important message the nurse can give the parents of a child with head lice? A. "any child from any home can get pediculosis (head lice) B. "You will have to wash the child's hair more often." C. Shaving the child's head would make it easier to get rid of the lice." D. "You should not have any children over to play until you get rid of the lice."
A
Which of the following organisms are the ones that almost always cause bullous impetigo? A. Staphylococcus aureus B. Escherichia coli C. Streptococcus D. Pneumococcus
A
A child comes to the clinic for evaluation of skin lesions and is diagnosed with impetigo. Which medications are potentially ordered with instructions placed on the discharge summary? Select all that apply. A. Penicillin B. Erythromycin C. Mupirocin D. Tetracycline E. Lindane
A B C
A nurse is teaching parents of a child with a nursing diagnosis of pain related to pruritus from skin lesions. Which of the following would the nurse include in the instructions? Select all that apply. A. "Keep the child's fingernails short." B. "Wrap your child up snugly with blankets." C. "Bathe the child in lukewarm water and baking soda." D. "Have the child press on the itching area instead of scratching it." E. "Avoid having your child wear cotton clothing."
A C D
Which of the following events is most often necessary to start the process of developing impetigo? Select all that apply A. a scratch B. underlying skin disease C. Contact with a mite D. An insect bite
A D
The nurse examining a 1-year-old child finds some nits and lice. The nurse is aware that children of this age should be treated for nits and lice in which of the following ways? A. weight dosed for permethrin B. Lice shampoo diluted with water C. manual removal of nits and lice D. wash the hair several times a day
C
The nurse is doing an in-service training on clinical manifestations seen in communicable diseases. Which best describes a macule? A. Redness of the skin produced by congestion of the capillaries B. Small, circumscribed, solid elevation of the skin C. Discolored skin spot not elevated at the surface D. Small elevation of epidermis filled with a viscous fluid
C
The nurse is teaching the parents of a child with varicella about the disorder. The nurse determines that the teaching was successful when the parents state which of the following? A. "We will make sure to remind him not to scratch the lesions." B. "We can give him aspirin for fever." C. "We should put him in a warm bath if he is itchy." D. "We can use salt solutions to help heal his oral lesions."
A
The nurse will recommend to the family of a child with scabies that every member be treated prophylactically for scabies for which of the following reasons? A. the incubation period is 2 to 6 weeks B. Scabies is highly contagious for months C. It is difficult to kill scabies D. Psychologically they will feel better
A
The parents of a 5-year-old have just found out that their child has head lice. Which statement by the parents would support the nursing diagnosis of deficient knowledge? A. "I can't believe it. We're not unclean, poor people." B. "We'll have to get that special shampoo." C. "Everybody in the house will need to be checked." D. "That explains his complaints of itching on his neck."
A
The nurse is working with the family of a child with impetigo will teach the family which of the following things? A. how to cover the skin to prevent the transfer of infection to other B. Isolation techniques such as masking, gowning, and gloving C. Hand washing techniques using antibacterial soap and not sharing towels and personal items D. how to apply the tincture of benzoin to the lesions
C
What is the classic sign of impetigo which is typically used to diagnose this condition? A. red rash on the trunk B. Honey colored crust on the skin C. Tracks under the skin D. Scratch marks near insect bites
B
The nurse is evaluating outcomes for teaching provided to the mother of a school-age child with an itchy rash. Which outcome indicates that teaching has been effective? A. Mother applies hot compresses to itchy skin areas every few hours B. Child drinks a glass of water every 1 to 2 hours throughout the day C. Child showers in hot water and uses soap on the rash every morning D. Child wearing long denim pants and a long-sleeve shirt while playing outside
B
Head lice are most common in which of the following groups of children? A. African American children B. Children from Central and South America C. Caucasian school-aged boys D. Caucasian school-aged girls
D
The nurse is assess a child and finds the classic symptoms of scabies, which are: A. Track-like raised red areas, which burn and hurt but do not itch at all B. Constant itching and secondary infections from itching, in addition to primary dry scaly lesions on the arms and trunk C. Daytime itching and vesicles containing fluid in a Track-like pattern. D. Nighttime itching and minute grayish-brown, threadlike burrow tracks with black dot at the end of the track
D
The nurse is providing teaching to the parents of a child with varicella. Which statement indicates that the parents have understood the instructions? A. "We should apply alcohol to the lesions every four hours." B. "If he has a fever, we can give him some aspirin." C. "The lesions should eventually form soft crusts that drain." D. "We need to make sure that he washes his hands frequently."
D
