Pediatrics Test 2
the nurse is providing preop teaching to the parent of a toddler who is to undergo myringotomy. the nurse explains that the type of infection most common in children that are prone to otitis media is which type of organism?
Bacterial
Which medication would the nurse anticipate being prescribed for a client reporting inflammatory lesions on the face and diagnosed with an inflammatory disorder of the sebaceous glands?
Clindamycin and Erythromycin
which education would the nurse provide first to 8 yr old children who will undergo head lice screening in their classroom ?
Describe what head lice are and how they look
The nurse is teaching skin and basic care to the parent of a 6 month old infant with eczema. Which statement indicates that the parent needs further teaching?
I'll have to be careful not to cut my baby's nails short
Which parent teaching would the nurse provide for an infant who has eczema?
Providing adequate hydration
which parent education would the nurse provide for a 4 mo old infant with newly diagnosed acute otitis media?
_Antibiotics are recommended for infants younger than 6 mo with acute otitis media
in which way would the nurse teach the parent of an 18 mo old child to instill eardrops?
by pulling the pinna down and back to straighten the auditory canal before instillation of drops
which type of lesion would the nurse document in the EHR observing elevated superficial lesions filled with purulent fluid on a clients skin?
pustule
which statement explains why toddlers are prone to middle ear infections
structural differences between eustachian tubes of younger and older children
permethrin 1% lotion is prescribed for a 5 year old child with lice. which instruction would the nurse include when teaching the parent about the treatment?
the childs hair must be combed with a fine toothed comb to remove nits
which factor would the nurse consider when the parent of a 10 mo old infant expresses frustration that this is the babys third otitis media in 3 mo
the eustachian tube is short and horizontal
The nurse is caring for a surgical client who develops a wound infection during hospitalization. Which classification would this infection belong to?
Nosocomial infection is acquired in a health care setting
Which condition would the nurse suspect when a client, who underwent a physical examination two days ago, reports itching?
contact dermatitis
which condition would the nurse suspect when a client, who underwent a physical examination two days ago, reports itching?
contact dermatitis
which assessment finding would the nurse expect in an infant who has undergone myringotomy
drainage into the external auditory canal
the RN delegates the task for caring of caring for a client with pressure injuries. the client suffers further tissue necrosis during treatment. which factor would could result in further tissue damage?
irrigation of the wound by the UAP
which causative organism would the nurse anticipate when a primary health care provider advises the client to apply 0.9% spinosad topical suspension to scalp and hair?
lice
a 2 yr old has hearing loss caused by recurrent otitis media. which treatment would the nurse anticipate that the practitioner will recommend?
myringotomy
Which medication would the nurse expect to the prescribed for a client who has burrows with erythematous papules and vesicles with interdigital web crusting?
5% Permethrin lotion
Which etiology is the primary cause of otitis media in young children?
An obstructed eustachian tube
which term would a nurse use to document a closed soft issue injury?
Contusion
which bacterial condition is suspected when a client with vesiculopustular lesions with honey colored crusts on the face visits a pcp?
impetigo
which condition is an example of a bacterial infection?
impetigo
which condition is commonly seen in preschoolers?
impetigo
which combination of client responses would the nurse determine represent the highest risk for the development of pressure injuries?
incontinence; inability to move independently
which assessment finding is the classic manifestation of scabies?
pruritic threadlike lesions in skin folds
which information would the nurse consider when planning care for a patient with scabies?
scabies is highly contagious
a parent calls the school nurse to ask how to check for head lice. which instruction would the nurse provide?
"look at your childs head along the scalp line for white dots"
Which statement by the client about ear irrigation for cerumen removal at home indicates a need for further instruction?
- "I should fill the syringe with hot water" - "I should use cotton to remove any extra water in my ear"
Which contraindication would a nurse assess for when preparing to administer eardrops to a client who has impacted cerumen?
- Allergy to the medication
Which infection would the nurse monitor for in the toddler based on structural characteristics at this age?
- Ear infection - acute sinusitis -laryngotracheobronchitis - inflammation of the tonsils
which clinical finding would the nurse expect when assessing a child with pediculosis capitis (head lice)?
white spots attached to the bases of hair shafts
which action would the nurse perform after observing lice in an 8 yr old?
- inspecting other childrens scalps - washing clothing and fabric items - notifying other parents of an outbreak - sending the child home from school - providing treatment instructions for the parents
while assessing a clients skin, the nurse notices the clients skin is dry. which probable cause would the nurse associate with this condition?
- use of hard soap - frequent bathing
While assessing a client's hair, the nurse notices the client has head lice. The nurse teaches the client about hair hygiene and lice control. Which client statement indicates an understanding of teaching?
- I will clean my comb in ammonia water. - I should use a dilute vinegar solution to loosen the nits - I should use a shampoo treatment once every 24 hrs
which statement made by a client about how to protect the hair from lice indicates the need for further teaching
- i will soak the comb used to remove lice for 15 min in cold water
Which complication would the nurse instruct the parent of a toddler who had a myringotomy to report upon discharge?
- increased pain - Lack of drainage
which topical medication is typically used to treat a client with acne vulgaris?
-clindamycin -erythromycin
which statement made by the client indicates understanding after teaching about measures to decrease the risk of antibiotic resistant infections?
-i should wash my hands frequently -i should avoid taking antibiotics to treat the common cold -i should avoid taking antibiotics without asking the pimary health care provider
which complication would the nurse recognize as associated with frequent episodes of otitis media in children?
-mastoiditis - hearing loss - bacterial meningitis
which assessment would the nurse include when taking the health history of a toddler with an exacerbation of eczema
-wearing cotton clothes -exposure to new foods
the nurse would include which instruction to the parents of a child being treated with oral ampicillin for otitis media?
Complete the entire course of antibiotic therapy
Which condition is commonly seen following infestation with pediculosis capitis (head lice)?
Impetigo
Which bacterial skin infection is caused by group A B-hemolytic streptococci?
Impetigo and Erysipelas
a 3 yo child is to undergo myringotomy. which recommendation would the nurse include in the discharge preparation for this family?
Insert earplugs during the childs bath
Which causative organism would the nurse anticipate when a primary health care provider advises the client to apply 0.(% topical suspension to scalp and hair?
Lice
which assessment finding is associated with chronic eczema
Rough, thick skin
A childs mother asks the school nurse how her child got head live> which explanation would the nurse share with the mother?
Transmission occurs through contact with contaminated children and objects