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Chapter 30: The Child with a Skin Condition review

Terms in this set (40)

The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old. How is infant skin different from adult skin?
Greater absorption
What risk is increased with children who have been diagnosed with infantile eczema?
Asthma
What is the appropriate technique for the application of a topical treatment for a child with eczema?
Apply prescribed ointments with a gloved hand
A 2-day-old infant is noted to have small pustules on her skin. What is the best nursing action?
Report it immediately because it may be staphylococcus infection
The home health nurse discovers a family infected with pediculosis. What information can the nurse provide to the mother to start eradication of the lice?
Comb though hair with a vinegar-water solution
A group of football players is taking oral griseofulvin for tinea pedis. What should the school nurse caution them to avoid?
Alcohol consumption
What should the nurse suggest before a 17-year-old girl starts a protocol of isotretinoin (Accutane) for her acne?
Get a prescription for oral contraceptives
A child had a burn, evidenced by pink skin and blistering. The child complains of pain and is crying. How does the nurse classify this burn when documenting?
Second-degree superficial
A child has sustained a second-degree deep thermal burn to the hand. What is the best first action to take?
Immerse the burned area in cold water
Which allergy would contraindicate the use of silver sulfadiazine (Silvadene) as a topical agent for burns?
Sulfa
What would help the child with a serious burn meet nutritional needs during the subacute phase of recovery?
Increase calories and protein to compensate for the healing process.
Which statement made by a parent indicates an understanding of the topical application of medications for a skin condition?
"I apply the medication after I give my child a bath."
On the first day following a severe burn, the body's fluid reserves have left the circulating volume and entered the interstitial space, causing massive edema. What should the nurse monitor for very closely in the burn victim?
Reduced urine output
At a 2-month well-child visit, parents ask the nurse about the red area on the infant's neck. They tell the nurse that the mark appeared a few weeks after birth. What does the nurse recognize this skin lesion as?
A strawberry nevus
A mother is concerned about what might have caused a heat rash on her infant. The nurse observes tiny pinhead-sized reddened papules on the infant's neck and axilla. What does the nurse explain as the most likely cause of this rash?
Heat and moisture
What is the correct nursing response to a mother who asks, "How can I get rid of the baby's cradle cap?"
"Rub baby oil on the infant's head at night and shampoo the hair the next morning."
Which statement made by a parent indicates the need for further teaching about strategies to control itching for the infant with eczema?
"Wool is the bests fabric for the infant's clothing."
What will the nurse include when teaching about general skin care measures that could help prevent acne?
Eating a balanced diet and getting sufficient rest
The nurse caring for a patient with severe frostbite observes a purple flush on the hands and feet. What is the most appropriate nursing action?
Medicate for pain
A child is brought to the emergency department with burns on the face and chest. What is the nurse's first priority?
Assess respiratory status
An adolescent girl with acne is being treated with an antibiotic in addition to topical applications. What side effect does the nurse caution the girl to expect?
Vaginitis
The nurse observes a tarry stool from a 16-year-old burn victim who has been in the ICU for 2 weeks. Which complication does the nurse document and report?
Curling's ulcer
A child is brought to the emergency department with severe frostbite. Which body parts should be warmed first?
Head and torso
An adolescent is at the pediatrician's office because he has been experiencing intense itching, particularly in the axilla and between the fingers. The itching is worse during the night and he has not been sleeping well. With what is this symptom associated?
Scabies
What should the nurse stress to the mother of a child with impetigo?
Small cuts and bites should be treated promptly
The nurse is caring for a 3-year-old with severe burns. What is the nurse aware is the minimum adequate hourly urine output?
20 mL/hr
An adolescent patient at a pediatric clinic presents with a butterfly rash. What diagnosis does the nurse suspect?
Systemic lupus erythematosus
The nurse is documenting a description of a skin assessment. What term can be used for an elevated, fluid-filled blister?
Vesicle
What should the nurse keep in mind when providing care to the school-age child hospitalized with a burn injury?
Contact with peers should be maintained
Parents of a child show the nurse that their child has a flat strawberry nevus. What information can the nurse provide in educating the parents regarding strawberry nevus? (Select all that apply.)
It is harmless
It gradually becomes raised
Laser treatment is available
What would the nurse teach parents to do in order to avoid diaper rash? (Select all that apply.)
Use ointments
Use disposable diapers
Avoid plastic bloomers or pants
Change diaper frequently
The nurse speaking to a group of junior high school students informs them that acne can be exacerbated by which drug(s)? (Select all that apply.)
Steriods
Phenytoin
Phenobarbital
What intervention(s) would the nurse preparing a teaching plan for the care of a child with infantile eczema include? (Select all that apply.)
Use oatmeal and baking soda as bath additives
Add bath oil to bath water after the child has soaked.
Which factor(s) activate the herpes simplex virus type I? (Select all that apply.)
Stress
Sun
Menses
Fever
The nurse recognizes the blisters and erythema of the hands of a person recovering from frostbite as the skin disorder called _________________.
chilblain
The nurse differentiates a type of topical medication that is an oil-based emulsion to be used on dry skin as a(n) _________________.
ointment
A 5-year-old boy is brought to the emergency department with a second-degree burn of his entire right arm and hand, anterior trunk and genital area, and front of right thigh. The nurse assesses the body surface area (BSA) percentage burn as ______%.
26
The nurse recognizes the characteristic circular hairless patches of tinea capitis, which is called _____________.
alopecia
The nurse assesses a major burn as a _____-thickness burn involving _____% or more of the body surface.
full, 10
Eczema indicates that the infant is oversensitive to certain substances called ______________, which enter the body via the digestive tract, inhalation, direct contact, or injections.
allergens
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