Question 1

A child is bitten on one arm by a neighbor's dog. The dog is immunized
against rabies and the child's last tetanus immunization was 4 years prior. The wound edges are gaping and avulsed. What is an important initial intervention when treating this injury?

Accepted Answer

C

Question 2

A toddler is brought to the clinic after grabbing the hot end of his mother's
curling iron. An examination reveals a pale, yellow burned area to the palm of one hand. What is true about this burn?

Accepted Answer

DThe description of a pale, yellow burned area indicates a second-degree burn, which can take up to 3 weeks to heal and may result in scarring. However, many second-degree burns can also heal without scarring within 7 to 14 days, depending on the depth and care of the wound.

Question 3

A child is brought to the clinic immediately after being stung by a wasp while
playing in the yard. The physical examination reveals localized redness and edema at the site, along with abdominal tenderness, watery eyes, and generalized hives. What is the initial treatment?

Accepted Answer

The symptoms described suggest an anaphylactic reaction, which is a severe allergic reaction that can be life-threatening. The immediate treatment in such cases is intramuscular epinephrine, which helps to reverse the symptoms by opening up airways, reducing swelling, and increasing blood pressure. This should be followed by emergency medical care. Applying a topical glucocorticoid cream or giving oral diphenhydramine may provide some relief from itching and inflammation but will not treat the other potentially life-threatening symptoms. Ordering a bronchodilator treatment may be necessary if there are respiratory symptoms, but it is not the initial treatment for anaphylaxis.

Question 4

A child is bitten by a snake near a swimming pool in an area where
copperhead snakes are known to inhabit, although the parents cannot describe the snake. An examination of the bite reveals a severe local reaction at the site with edema and intense pain. What will the primary care pediatric nurse practitioner do first?

Accepted Answer

The answer of A child is bitten by a snake...

Question 5

A school­age child sustained a contusion on the front of one thigh while
playing football and reports some difficulty flexing his foot on the affected side. What will the primary care pediatric nurse practitioner do to treat this injury?

Accepted Answer

The answer of A school­age child sustained a contusion on...

Question 6

The primary care pediatric nurse practitioner is preparing to close a
laceration on a child's forehead using topical skin adhesive. What is the correct way to apply this product?

Accepted Answer

The correct way to apply topical skin adhesive for closing a laceration is to first hold the wound edges together and then apply the adhesive on top of the skin, not between the wound margins or with additional securing methods like surgical tape. This method ensures proper closure and healing of the wound.

Question 7

A child has a 1­cm laceration on the forehead proximal to the hairline after
running into a pole while playing sports. To minimize the risk of infection, the primary care pediatric nurse practitioner will irrigate the wound and

Accepted Answer

Suturing the wound within 6 hours will help reduce the risk of infection by closing the wound and promoting faster healing. Delaying the closure of the wound or allowing it to heal by secondary intention may increase the risk of infection. Referring the child to a plastic surgeon for wound closure may not be necessary for a small laceration like this.

Question 8

A school­age child steps on a nail while wearing tennis shoes and develops
cellulitis in that foot. The child's immunizations are up­to­date. What antibiotic will the pediatric nurse practitioner empirically prescribe?

Accepted Answer

The answer of A school­age child steps on a nail...

Question 9

A child is brought to the clinic after falling from a swing and scraping both
knees and hands. An examination reveals abraded skin with oozing serous fluid and blood, along with dirt and grime from the playground surface. What will the primary care pediatric nurse practitioner do to minimize the risk of infection?

Accepted Answer

Irrigation with normal saline is the best choice to minimize the risk of infection. Povidone-iodine can be irritating to open wounds and hydrogen peroxide can delay wound healing. Scrubbing with alcohol can cause further tissue damage.

Quiz 39: Common Injuries

A child is bitten on one arm by a neighbor's dog. The dog is immunized against rabies and the child's last tetanus immunization was 4 years prior. The wound edges are gaping and avulsed. What is an important initial intervention when treating this injury?

A toddler is brought to the clinic after grabbing the hot end of his mother's curling iron. An examination reveals a pale, yellow burned area to the palm of one hand. What is true about this burn?

A child is brought to the clinic immediately after being stung by a wasp while playing in the yard. The physical examination reveals localized redness and edema at the site, along with abdominal tenderness, watery eyes, and generalized hives. What is the initial treatment?

A schoolage child sustained a contusion on the front of one thigh while playing football and reports some difficulty flexing his foot on the affected side. What will the primary care pediatric nurse practitioner do to treat this injury?

The primary care pediatric nurse practitioner is preparing to close a laceration on a child's forehead using topical skin adhesive. What is the correct way to apply this product?

A child has a 1cm laceration on the forehead proximal to the hairline after running into a pole while playing sports. To minimize the risk of infection, the primary care pediatric nurse practitioner will irrigate the wound and

A schoolage child steps on a nail while wearing tennis shoes and develops cellulitis in that foot. The child's immunizations are uptodate. What antibiotic will the pediatric nurse practitioner empirically prescribe?