Saunders Integumentary

The nurse is verifying that a mother understands how to care for her infant who has thrush. Which comment by the mother would indicate that further teaching is indicated

I can put the medication in my son's bottle for him to drink

The nurse reinforces instructions to the mother of a child diagnosed with pediculosis (head lice). Permethrin has been rx'd. Which statement regarding the use of the med indicates a need for further teaching

I need to shampoo my child's hair, apply the med and leave the med on for 24 hours

The nurse is collecting data on a child with a 1 week old cat scratch injury. While assessing the scratch, the nurse notes redness, heat, swelling, and read streaking surrounding the area. The child states that the scratch hurts. Cellulitis is diagnosed. When providing home care instructions, which statement by the mother indicates a need for further teaching

I will apply cool, moist soaks every 4 hrs

A 2 year old is admitted to a hospital burn unit with partial and full thickness burns involving 25% of BSA. after admission assessment and review of the HCP rx, the priority nursing intervention should focus on which action

Insert an indwelling urinary catheter

The school nurse has provided an instructional session about impetigo to parents of the children attending the school. Which statement, if made by a parent, indicates a need for further instruction

Lesions most often are located on the arms and chest

The mother of a 3 year old child arrives at a clinic and tells the nurse that the child has been scratching the skin continuously and has developed a rash. The nurse assesses the child and suspects the presence of scabies. The nurse bases this suspicion on which finding noted on assessment of the child's skin

fine grayish red lines

the nurse is monitoring a child with burns during treatment. which assessment provides the most accurate guide to determine the adequacy of fluid resuscitation

adequacy of cap refill

The nurse is developing a plan of care for a 10 year old with an exacerbation of eczema.

The client is at risk for infection r/t scratching of pruritic lesions

A topical corticosteroid is rx'd by the HCP for a child with contact dermatitis (Eczema). Which instruction should the nurse give the parent about applying the cream

Apply a thin layer of cream and rub it into the area thoroughly

Permethrin is prescribed for a child with a dx of scabies. The nurse should give which instruction to the caregivers regarding the use of this tx

Apply the lotion to cool, dry skin at least 30 min after bathing

Nursing care of the infant with eczema should focus on which action as a priority nursing intervention

Preventing secondary infection of the lesions

crusty plaques over the elbow and knees The nurse is providing a yearly summer educational session to parents in a local community. The topic of the session is prevention and tx measures for poison ivy. The nurse instructs the parents that if the child comes into contact with poison ivy to take which action

Shower the child immediately, lathering and ringins the exposed skin several times

The clinic nurse is reviewing the PCP's rx for a child who has been diagnosed with scabies. Lindane has been rex'd for the child. The nurse questions the rx if which is noted in the child's record

The child is 18 months old

The school nurse is performing pediculosis capitis (head lice) assessments. Which assessment finding indicates that a child has a "positive" head check for lice

White sacs attached to the hair shafts in the occipital area

The nurse is counseling the young mother of a small child recently diagnosed with impetigo. The nurse should make which statement that provides the best information about impetigo

You will need to prevent any of the fluid from the blister from coming into contact with your other children

The nurses caring for a child who sustained a burn injury, plans care based on which pediatric considerations associated with this injury SATA a) Scarring is less severe in a child than in an adult b) A delay in growth may occur after a burn injury c) An immature immune system presents an increased risk of infection for infants and young children d) Fluid resuscitation is unnecessary unless the burned area is more than 35% of the total BSA e) The lower proportion of body fluid to body mass in a child increases the risk of cardiovascular problems f) Infants and young children are at increased risk for protein and calorie deficiencies, because they have smaller muscle mass and less body fat than adults

b, c, f