Chapter 49: The Child with an Alteration in Tissue Integrity Flashcards

1
Q

Adult female lays eggs under the skin, then larvae hatch and come to the surface, creating burrows and tunnels that are difficult to see

A

scabies

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2
Q

Burn with no pain except in outlying areas

A

full thickness burn

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3
Q

Symptomatic treatment for HSV includes OTC ______, antiviral __________, and ____________.

A

analgesics, acyclovir, hydration

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4
Q

Commonly passed from mother to infant through infective secretions in vaginal delivery

A

HSV-2

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5
Q

How does swimming affect the skin of those with atopic dermatitis?

A

Dries out skin

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6
Q

Use this technique to apply topical antibiotics and antimicrobial dressings to burns

A

aseptic technique

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7
Q

Treatment involves removing irritant, washing skin thoroughly, using cool compresses, and steroid cream

A

contact dermatitis

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8
Q

Birthmark that contains distended dermal capillaries; can get redder as infant cries

A

salmon patch

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9
Q

Hormonal changes that occur in adolescence increases ___________________________ in skin, resulting in _________________________.

A

sebum production, acne vulgaris

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10
Q

______________ or ______________ can treat acne vulgaris

A

Benzoyl peroxide, salicylic acid

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11
Q

Painful burns

A

partial thickness burns (superficial and deep)

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12
Q

In pediatric burn patients, rapid fluid resuscitation should be initiated quickly to prevent ____________________________________

A

fluid and electrolyte imbalance

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13
Q

To treat pediculosis capitis or scabies, wash clothing, bedding, and stuffed animals with what

A

Hot water

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14
Q

Treatment for scabies includes OTC ____________

A

permethrin 5%

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15
Q

Seborrheic dermatitis is a skin condition that begins in the first ________ and usually disappears by __________.

A

2-3 weeks of life, 12 months

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16
Q

Thoroughly clean pacifiers, bottles, and/or the mother to help treat this condition

A

thrush (candidiasis)

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17
Q

Birthmark that is caused by capillary malformation; gets darker as child ages and may become nodular by middle age adulthood

A

port wine stain

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18
Q

Cause of this skin condition is unknown, but thought that sebaceous gland dysfunction and overgrowth in fungi play a role

A

seborrheic dermatitis

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19
Q

___________ may be used if there is resistance to OTC treatments for acne vulgaris

A

Antibiotics

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20
Q

Treatment may include medications, surgery, radiation, or laser therapy

A

hemangiomas

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21
Q

OTC treatment with _____________ and __________ is recommended for pediculosis capitis

A

lice shampoo, nit comb

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22
Q

Three treatment goals for burns

A

Preventing infection
Facilitating tissue regrowth
Limiting functional impairments

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23
Q

Transmitted by direct contact

A

pediculosis capitis

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24
Q

Systemic infection in young infants possible

A

Herpes Simplex Virus

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25
Q

Burn with physiologic function intact

A

superficial burn

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26
Q

If inpatient, use these precautions for HSV

A

contact precautions

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27
Q

To treat burns, apply _____________ and ________.

A

antimicrobial agents, dressings

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28
Q

This method uses the child’s palm (1%) to estimate the extent of burns

A

Palmar method

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29
Q

Oral steroids may be needed for severe cases of this condition

A

contact dermatitis

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30
Q

Keep affected areas clean and dry

A

Tinea infections

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31
Q

Another name for seborrheic dermatitis

A

cradle cap

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32
Q

Burn that involves destruction of the epidermis and some dermis

A

superficial partial thickness burn

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33
Q

Secondary infection that often follows a small break in the skin and is highly contagious

A

impetigo

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34
Q

Treatment involves daily hair washing using a mild, OTC anti (condition) shampoo that contains sulfur and salicylic acid and fine-tooth comb to remove scales

A

seborrheic dermatitis

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35
Q

Treat surrounding environment, including family members

A

pediculosis capitis

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36
Q

Resolves on its own, but virus remains dormant and may reactivate during times of stress

A

HSV-1

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37
Q

Birthmark that contains pigment deep within the dermis

A

Mongolian spot

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38
Q

Do not shampoo hair for how long after the initial treatment for pediculosis capitis

A

24 hours

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39
Q

The hallmark signs of atopic dermatitis

A

dry, inflamed, pruritic patches of skin

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40
Q

Burn that involves destruction of epidermis

A

superficial burn

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41
Q

When to repeat treatment with OTC permethrin 5% after first treatment

A

in one week

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42
Q

Fungal infection that commonly appears in the mouth but may present in diaper region

A

candidiasis

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43
Q

Manifestations include heat, tender, redness, and swelling

A

cellulitis

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44
Q

Superficial fungal infections that can occur anywhere on the body

A

Tinea infections

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45
Q

Candidiasis that appears in the mouth is also known as this

A

thrush

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46
Q

Naturally disappears by 5-6 years

A

hemangiomas

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47
Q

Burn mortality and severity is (higher, lower) in pediatric patients

A

higher

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48
Q

Dry out shoes and change socks frequently, especially after becoming wet

A

Tinea pedis

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49
Q

Establish access to these three areas when treating a burn

A

IV access for fluids and antibiotics
NG tube for stomach decompression and nutritional support
Foley catheter to monitor I&O

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50
Q

Burn in which the skin may appear white or black

A

full thickness burn

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51
Q

Three key treatments for Stevens-Johnson syndrome

A

Remove affecting medication
Maintain hydration
Pain management

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52
Q

Good time to do ROM exercises for burn patients

A

during hydrotherapy

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53
Q

The severity of burns indicates how much ________ is disrupted

A

function (minor, moderate, or major)

54
Q

Burn with functional impairment present

A

full thickness burn

55
Q

Common contagious skin infection in crowded living quarters

A

scabies

56
Q

Any substance that comes in prolonged contact with the skin can be this

A

irritant

57
Q

Atopic dermatitis patches appear on which parts of the body in an infant

A

face, scalp, arms, legs

58
Q

Burns that do not result in blisters

A

superficial, full thickness

59
Q

Pattern of unintentional burns

A

splash

60
Q

Why does myoglobinuria occur

A

myoglobin cannot be filtered effectively through kidneys

61
Q

Overproduction of T-cells attracted to the skin initiates inflammatory response creating its hallmark signs

A

atopic dermatitis

62
Q

Oral Nystatin is a treatment for this

A

thrush

63
Q

Cold sore or “fever blister”

A

HSV-1

64
Q

How often should burns receive care until closure

A

At least daily

65
Q

Skin has ______ ability to regulate temperature in pediatrics

A

decreased

66
Q

Another term for pediculosis capitis

A

head lice

67
Q

Birthmark that is a proliferation of dilated capillaries and endothelial cells

A

hemangioma

68
Q

Condition where inflammation is caused by direct contact with the skin and an irritant

A

contact dermatitis

69
Q

Another name for atopic dermatitis

A

eczema

70
Q

Treatment includes topical antibiotics (oral if severe) and washing lesions three times a day with a mild antibacterial soap

A

impetigo

71
Q

This method that estimates the extent of burns is not recommended in pediatrics because it is not an accurate representation

A

Rule of Nines

72
Q

Two fluids recommended for rapid fluid resuscitation in pediatric patients

A

normal saline, lactated ringers

73
Q

when to treat pain in relation to other burn treatments

A

30 minutes before

74
Q

Precautions to utilize for swimming with atopic dermatitis

A

Limit time
Moisturize well before and after

75
Q

Burn that does not result in scarring

A

superficial burn

76
Q

(Thicker/Thinner) skin in pediatrics increases susceptibility to _____________ and ____________

A

Thinner, irritants, infection

77
Q

Inflammation from invading pathogen causes pustular lesions that weep honey-colored fluid which crusts over lesions

A

impetigo

78
Q

Increase in bacteria and yeast lead to secondary infections

A

seborrheic dermatitis

79
Q

Pediatric burn patients are at a(n) (increased, decreased) risk for ______ and _____ loss

A

increased, fluid, heat

80
Q

Related to sloughing of skin cells, overgrowth of normal bacteria, hormonal fluctuations, stress, and hereditary factors

A

acne vulgaris

81
Q

Patterns of intentional burns

A

Glove, stocking

82
Q

Cardiac arrest, dysrhythmia, tissue damage, myoglobinuria, metabolic acidosis, loss of short-term memory, and altered emotional state are major complications of this

A

electrical injury

83
Q

Bacterial infection of subcutaneous tissue

A

cellulitis

84
Q

Burns with some functional impairment

A

partial thickness burns (superficial and deep)

85
Q

Three conditions that atopic dermatitis has connections with

A

asthma, hay fever, allergic rhinitis

86
Q

How long should OTC permethrin 5% be left on the body during a single treatment

A

8-14 hours (recommended to put on at bedtime)

87
Q

Avoid colors and perfumes–> can increase itching

A

atopic dermatitis

88
Q

When to repeat treatment for pediculosis capitis

A

On day 7-9

89
Q

Treatment involves moisturizing areas thoroughly and frequently, controlling itching, removing known irritants, and preventing infection

A

atopic dermatitis

90
Q

How to apply Nystatin in pediatric patients

A

Use Q-tip or gloved finger
(Pediatric patients may not be able to swish and spit)

91
Q

Population most at risk for burns and why

A

Infants and toddlers are dependent on adults to ensure environment is safe

92
Q

Two treatment goals for acne vulgaris

A

preventing scarring and preserving positive self image

93
Q

Oral ____________ is recommended for Tinea capitis and is (difficult/easy) to treat.

A

griseofulvin, difficult

94
Q

Atopic dermatitis patches appear on which parts of the body in childhood

A

flexor surfaces of limbs (wrists, elbows, backs of knees)
dorsal surfaces of hands and feet

95
Q

Burns that result in blisters

A

partial thickness burns (superficial and deep)

96
Q

Medication that can treat acne vulgaris resistant to other treatments

A

Accutane

97
Q

Infection of skin and mucous membranes

A

Herpes Simplex Virus

98
Q

This condition has an unknown cause but is thought to have a genetic component and be related to a malfunction within immune system

A

atopic dermatitis

99
Q

Plaques in mouth from thrush may cause this

A

Difficulty eating (encourage hydration)

100
Q

Has many side effects
Is teratogenic (severe birth defects, miscarriage)
Must sign form to consent to taking this medication
(Treatment for acne vulgaris)

A

Accutane

101
Q

Birthmark that begins to disappear by one year of age and is completely gone by 5-6 years of age

A

hemangioma

102
Q

Pediatric burn patients are at a(n) (increased, decreased) risk for ________________ scarring, _______________ problems, ___________, and __________ and _________ deficiency

A

increased, hypertrophic, cardiovascular, infection, protein, calorie

103
Q

Avoid citrus and sodas (carbonation can increase inflammation)

A

Herpes Simplex Virus

104
Q

Ratio of skin surface area to body volume is (lesser/greater) in pediatrics, allowing greater _______________ and ________________________

A

greater, absorption, fluid loss

105
Q

Oral antihistamines and corticosteroid creams may be indicated for this condition

A

atopic dermatitis

106
Q

Removal of dead material (eschar) is known as this

A

debridement

107
Q

Another area that seborrheic dermatitis can occur

A

diaper area

108
Q

Appear as red lesions and may have scaly appearance

A

Tinea infections

109
Q

Treatment is not indicated in children, but makeup or laser therapy can be used

A

port wine stains

110
Q

A chronic inflammatory condition of the skin that usually begins in infancy and clears up by 2-3 years of age but can continue into childhood and adulthood

A

atopic dermatitis

111
Q

Cool compresses and OTC pain medications are used to treat this type of burn

A

superficial burn

112
Q

An adaptive form that estimates the extent of burns in pediatrics

A

Lund and Browder method

113
Q

Herpes in genital region

A

HSV-2

114
Q

Keep nails short and clean

A

atopic dermatitis
scabies

115
Q

Allergic, inflammatory reaction to medications or a result of an autoimmune disorder

A

Stevens-Johnson syndrome

116
Q

Pop blisters or leave them alone

A

leave them alone

117
Q

Itching can last for several weeks after treatment

A

scabies

118
Q

__________________ for females can help treat acne vulgaris

A

Hormone therapy

119
Q

How might thrush (candidiasis) end up in the diaper region

A

Traveling through GI tract from oral to anal region

120
Q

When should the antiviral acyclovir be used

A

early in HSV infection
in the immunocompromised (not recommended for treatment right away in regular population)

121
Q

Its oily, yellow scales block sweat and sebaceous glands, leading to inflammation.

A

seborrheic dermatitis

122
Q

This condition presents as dry, inflamed, pruritic skin along the affected area

A

contact dermatitis

123
Q

Sexual abuse should be considered when HSV-2 occurs in a child under which age

A

14 years

124
Q

Rash and itching that worsens at night

A

scabies

125
Q

Burn that involves destruction of the epidermis, dermis, and underlying tissue

A

full thickness burn

126
Q

This skin infection can cause emotional distress in the adolescent population

A

acne vulgaris

127
Q

Two primary goals for nursing interventions for skin inflammation disorders

A

Treat existing infection
Prevent secondary infection

128
Q

Burn that involves destruction of the epidermis and dermis

A

deep partial thickness burn

129
Q

Intubate quickly when burns affect these areas of the body

A

face and chest

130
Q

Treatment includes antibiotics and warm compresses

A

cellulitis

131
Q

Presents like a burn and has similar treatment

A

Stevens-Johnson syndrome

132
Q

Treatment for Tinea corporis, cruris, and pedis

A

Topical antifungals (lotrimin, monistat)