Deck 17: Skin Integrity

Question 1

What anticipatory guidance should a pediatric nurse provide to parents whose child develops erythema toxicum neonatorum (flea-bite dermatitis)?

A) Squeezing and popping the papules will resolve the condition faster.
B) Topical corticosteroids will aid in resolving this condition.
C) Oral antibiotics will be required to resolve this condition.
D) Do not squeeze the papules, as they will resolve without intervention.

Answer 1

D

Question 2

A child presents with small vesicles on the face that have developed a honey-colored crust in addition to swollen lymph glands. Consequently, this child was diagnosed with nonbullous impetigo. What would you suggest as a first-line topical treatment for this medical condition?

A) Mupirocin
B) Retapamulin
C) Amphotericin
D) Clotrimazole

Answer 2

B

Question 3

A child with a history of impetigo presents with localized joint stiffness and the skin in the affected area now has a tight, glossy appearance. Which medical condition should be suspected with this presentation?

A) Cellulitis
B) Osteomyelitis
C) Atopic dermatitis
D) Candidiasis

Answer 3

A

Question 4

If you are caring for a child who requires repeated burn wound care, which type of medication should be prescribed to prevent stress ulcers from forming?

A) H₂ antagonists
B) Proton-pump inhibitors
C) ACE inhibitors
D) Beta blockers

Question 5

If you are caring for a child with a burn whose surface area is large enough to destroy a significant quantity of cells, laboratory tests should be monitored to assess the need for what type of infusions?

A) Normal saline solution
B) Whole blood
C) Platelets
D) Packed red blood cells

Question 6

If a child presents with a partial-thickness burn, what type of wound care would you provide for this type of burn?

A) Symptom management only
B) Cool compresses and application of aloe vera
C) Fluid resuscitation is the primary concern
D) Thorough cleaning and application of silver sulfadiazine cream

Question 7

A child presents with a severely itchy scalp; upon physical examination, no head lice are observed. For which other medical condition should this child be assessed, as it may produce similar symptoms as head lice?

A) Scabies
B) Impetigo
C) Cellulitis
D) Atopic dermatitis

Question 8

If a teenager presents with severe acne (nodular with conglobate), what would you suggest to treat this condition?

A) Oral isotretinoins
B) Topical benzoyl peroxide
C) Oral antibiotics
D) Topical retinoids

Question 9

When taking care of child who has sustained severe burns, what is the primary nursing concern?

A) Providing emotional support to the family
B) Providing appropriate pain management
C) Preventing hypovolemic shock
D) Maintaining aseptic technique to avoid secondary infection

Question 10

If a child presents with persistent contact dermatitis with severe itching to the diaper area that does not respond to any topical treatments, what action would you suggest to help this child?

A) Initiate oral antibiotics
B) Initiate oral antihistamines
C) Suggest the use of emollient lotions
D) Suggest allergy "patch" testing to determine the cause of the reaction