Ch36 Full Test Bank Child With A Skin Condition - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 36: Child With a Skin Condition
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. When a young child presents with small, round lesions on the skin, the health-care team must conduct a careful assessment because these lesions could represent impetigo or _________.
1) | Scabies |
2) | Cigarette burns |
3) | MRSA |
4) | Skin biopsies |
____ 2. Which statement made by the mother of a child suffering from eczema alerts the nurse to the need for more teaching?
1) | “I will keep the affected areas clean and dry to prevent infection.” |
2) | “We will stop using bubble bath.” |
3) | “I will apply a nonscented lotion after bath time.” |
4) | “I will use baby wipes to clean the affected areas between baths.” |
____ 3. 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?
1) | Staphylococcus aureus |
2) | Human papillomavirus (HPV) |
3) | Pseudomonas aeruginosa |
4) | Escherichia coli |
____ 4. Which is the priority nursing intervention for a 4-year-old patient brought to the emergency department (ED) for treatment of frostbite?
1) | Administering analgesics |
2) | Immersing the hands in extremely warm water (48.9°C [120°F]) |
3) | Not removing clothing |
4) | Placing the extremity in a dependent position |
____ 5. During the assessment of a child, the nurse notices the presence of vesicles that are oozing honey-colored fluid on the child’s legs. Which condition would the nurse suspect?
1) | Nodule |
2) | Tinea capitis |
3) | Wheal |
4) | Impetigo |
____ 6. A child is seen in the clinic with many itchy, round, elevated skin lesions that appear white in the center and are surrounded by red inflammation. How does the nurse document these findings?
1) | Wheal |
2) | Spider bite |
3) | Pustule |
4) | Nodule |
____ 7. The nurse is teaching the parents of an infant diagnosed with candidiasis in the diaper area how to treat it and decrease the risk for future occurrences. Which teaching point does the nurse include in the teaching session?
1) | Finishing all of the antiviral medication as prescribed |
2) | Keeping the diaper area as dry as possible |
3) | Changing to a lactose-free formula |
4) | Administering an oral antifungal liquid for prevention of future occurrences |
____ 8. Which is the most likely cause for skin lesions that are moist, bright red, and have “satellite” lesions noted during assessment of the perianal area of a 12-month-old infant?
1) | Infrequent diapering |
2) | Impetigo (Staphylococcus) |
3) | Candida albicans (yeast) |
4) | Eczema |
____ 9. Which finding noted by the school nurse while conducting pediculosis capitis (head lice) checks indicates the need for treatment?
1) | White, flaky particles throughout the scalp region |
2) | Lesions on the scalp that extend to the hairline or neck |
3) | Maculopapular lesions behind the ears |
4) | Silver/white sacs attached to the hair shafts in the occipital area |
____ 10. When providing education for new parents on the prevention of diaper rash the nurse should be sure to cover which of the following topics?
1) | Using skin protective ointment may prevent your baby from getting diaper rash; you do not have to wait for your baby to get diaper rash to use this. |
2) | Strawberries often help reduce the occurrence of diaper rash. |
3) | You should try to change your infant’s diaper only after bowel movements. |
4) | Commercial “baby wipes” are often soothing to newborn skin. |
____ 11. Which is the priority intervention when planning care for an infant who is diagnosed with eczema?
1) | Applying antibiotics to lesions |
2) | Keeping the baby content |
3) | Maintaining adequate nutrition |
4) | Preventing infection of lesions |
_____ 12. Cutaneous fungal infections occur in various areas on the body and are generally named according to the location. The nurse documents a cutaneous fungal infection on the toenails as which of the following?
1) | Tinea capitis |
2) | Tinea unguium |
3) | Tinea corporis |
4) | Tinea pedis |
____ 13. The nurse caring for a child with severe pruritus knows that which of the following findings are not consistent with a scabies diagnosis?
1) | Superficial red streaks or “burrows” on skin |
2) | The presence of red streaks or “burrows” on other members of the family |
3) | Mild regional swollen lymph nodes |
4) | Skin scrapings containing microscopic mites, ova, and feces |
____ 14. Which should the nurse include in the plan of care for a child with a minor burn to enhance nutrition and healing?
1) | Protein |
2) | Minerals |
3) | Carbohydrates |
4) | Fats |
____ 15. 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 based on the current data?
1) | Asphyxia |
2) | Metabolic acidosis |
3) | Shock |
4) | Wound infection |
____ 16. What is the term used to describe skin condition of depigmentation that has no known cause?
1) | Tinea versicolor |
2) | Rocky Mountain spotted fever |
3) | Lund-Browder |
4) | Vitiligo |
____ 17. A burn into the dermis that is very painful, edematous, and weeping is a ____________.
1) | First-degree burn |
2) | Second-degree burn |
3) | Third-degree burn |
4) | Fourth-degree burn |
____ 18. Infants have a higher incidence of lesions and blisters when their skin becomes inflamed due to which of the following?
1) | The epidermis not being tightly attached to the dermis |
2) | Infrequent diaper changes |
3) | Infection is common |
4) | Scratching frequently |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 19. Which adolescent statements indicate the need for further education related to the prevention and treatment of acne? (Select all that apply.)
1) | “I should wash my face each day with an approved cleanser.” |
2) | “I should wash my hands frequently and avoid touching my face.” |
3) | “I should stay away from greasy foods such as pizza.” |
4) | “I should shampoo my hair only once per week.” |
5) | “I should use my topical medication only when acne is present.” |
____ 20. Which topics should be included in a teaching session with parents of school-aged children to prevent sunburn? (Select all that apply.)
1) | Playing in the shade |
2) | Wearing a hat while outdoors |
3) | Restricting outside activities between 10 a.m. and 2 p.m. |
4) | Using sunscreen with an SPF of 30 or higher |
5) | Avoiding sunglasses |
____ 21. Nurses can be very influential in the decision-making process for teens. Which of the following should the nurse include in her teaching for a teen asking about getting a tattoo? (Select all that apply.)
1) | Information on infectious diseases associated with tattooing performed without sterile technique and sterile equipment |
2) | How cheap and easy it is to remove a tattoo |
3) | Implications to consider for future employment opportunities |
4) | How cool their friends will think they are with a new tattoo |
5) | Telling the patient that she got a tattoo at 16 herself |
____ 22. The most important nursing consideration for burns is prevention, and family education on burn prevention must focus on the developmental age of the child in the home. What anticipatory guidance on burn prevention is appropriate for homes with toddlers? (Select all that apply.)
1) | Turn handles of pans toward the back of the stove. |
2) | Have the child check batteries in the smoke detectors. |
3) | Teach fire safety around cars and gas stations. |
4) | Test bath water before placing the child in the bathtub. |
5) | Use only front burners of the stove when possible. |
____ 23. When providing education to the mother of a child recently diagnosed with head lice the nurse will include which of the following? (Select all that apply.)
1) | There is a risk of infection if the child breaks the skin while scratching. |
2) | It is important to punish the child so that she does not share hats and hair brushes again. |
3) | Seal toys or stuffed animals in a plastic bag for 2 weeks to kill any remaining lice. |
4) | Vacuum mattresses to remove lice. |
5) | Reapply lice shampoo daily for 7–10 days. |
____ 24. The new nurse is caring for a pediatric patient who recently received a skin graft after a burn. When discussing the patient with her preceptor, they review that which of the following medications may inhibit wound healing? (Select all that apply.)
1) | Insulin |
2) | Nonsteroidal anti-inflammatory drugs |
3) | Corticosteroids |
4) | Immunosuppressants |
5) | Antibiotics |
____ 25. Which preventive strategies for tinea pedis, a fungal infection also known as athlete’s foot, should the nurse include in a teaching session for an adolescent client? (Select all that apply.)
1) | Wear white, 100%-cotton socks, changed twice a day. |
2) | Use talc on the feet daily. |
3) | Use an over-the-counter corticosteroid cream to treat the area. |
4) | Wear foot covers such as flip-flops in the locker room and shower. |
5) | Apply heat to the area twice a day. |
Chapter 36: Child With a Skin Condition
Document Information
Connected Book
Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer
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