chapter 52-integumentary dysfunction Flashcards
A child falls on the playground and has a small laceration on the forearm. What should the school nurse do to cleanse the wound?
a. Slowly pour hydrogen peroxide over wound.
b. Soak arm in warm water and soap for at least 30 minutes.
c. Gently cleanse with sterile pad and a non stinging povidone-iodine solution.
d. Wash wound with mild soap and water or saline for several minutes.
d
A child steps on a nail and sustains a puncture wound in the foot. What is the most appropriate method for cleansing this wound?
a. Wash wound thoroughly with chlorhexidine.
b. Wash wound thoroughly with povidone-iodine.
c. Soak foot in warm water and soap.
d. Soak foot in solution of 50% hydrogen peroxide and 50% water.
C
What is one important nursing consideration when caring for a child with impetigo contagiosa?
a. Apply topical corticosteroids to decrease inflammation.
b. Carefully remove dressings so as not to dislodge undermined skin, crusts, and debris.
c. Practise good hand hygiene and maintain cleanliness when caring for an infected child.
d. Examine child under a Wood lamp for possible spread of lesions.
C
Impetigo ordinarily results in which outcome?
a. No scarring
b. Pigmented spots
c. Slightly depressed scars
d. Atrophic white scars
A
What is often a cause of cellulitis?
a. Herpes zoster
b. Candida albicans
c. Human papillomavirus
d. Streptococcus or Staphylococcus organisms
D
Lymphangitis (“streaking”) is frequently seen in which condition?
a. Cellulitis
b. Folliculitis
c. Impetigo contagiosa
d. Staphylococcal scalded skin
A
What causes warts?
a. Bacteria
b. Fungus
c. Parasite
d. Virus
D
What is the primary treatment for warts?
a. Vaccination
b. Local destruction
c. Corticosteroids
d. Specific antibiotic therapy
B
Herpes zoster is caused by the varicella virus and has an affinity for which structure(s)?
a. Sympathetic nerve fibres
b. Parasympathetic nerve fibres
c. Posterior root ganglia and the posterior horn of the spinal cord
d. Lateral and dorsal columns of the spinal cord
C
What does treatment for herpes simplex virus (types 1 or 2) include?
a. Corticosteroids
b. Oral griseofulvin
c. Oral antiviral agent
d. Topical and/or systemic antibiotic
C
Which is the cause of ringworm that is frequently found in schoolchildren?
a. Virus
b. Fungus
c. Allergic reaction
d. Bacterial infection
B
A young boy’s mother tells the nurse that he keeps scratching the areas where he has poison ivy. How should the nurse respond?
a. Poison ivy does not itch and needs further investigation.
b. Scratching the lesions will not cause a problem.
c. Scratching the lesions will cause the poison ivy to spread.
d. Scratching the lesions may cause them to become secondarily infected.
D
What is the primary clinical manifestation of scabies?
a. Edema
b. Redness
c. Pruritus
d. Maceration
C
What is the only symptom of pediculosis capitis (head lice)?
a. Itching
b. Vesicles
c. Scalp rash
d. Localized inflammatory response
A
The treatment of a child who has just been stung by a bee or wasp should include which intervention?
a. Cool compresses
b. Warm compresses
c. Antibiotic cream
d. Corticosteroid cream
A
A father calls the clinic nurse because his 2-year-old child was bitten by a black widow spider. What should the nurse advise the father to do?
a. Apply warm compresses.
b. Carefully scrape off the stinger.
c. Take the child to the emergency department.
d. Apply a thin layer of corticosteroid cream.
C
A mother calls the emergency department nurse because her child was bit by a brown recluse spider. What should the nurse recommend?
a. Administer antihistamine.
b. Cleanse the wound with soap and water.
c. Keep the child quiet and come to the emergency department.
d. Remove the stinger and apply cool compresses.
C
What kind of bite causes Rocky Mountain spotted fever?
a. A flea
b. A tick
c. A mosquito
d. A mouse or rat
B
What should the nurse know about Lyme disease?
a. It is difficult to prevent.
b. It is easily treated with oral antibiotics in stages 1, 2, and 3.
c. It is caused by a spirochete that enters the skin through a tick bite.
d. It is common in geographic areas where the soil contains the mycotic spores that cause the disease.
C
The nurse is examining a 12-month-old boy who was brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with satellite lesions that cross the inguinal folds. What is the most likely cause?
a. Impetigo
b. Candida albicans
c. Urine and feces
d. Infrequent diapering
B
The nurse is teaching a class about preventing diaper rash in newborns to a group of new parents. Which statement made by one parent indicates he has a correct understanding of the teaching?
a. “I should wash my infant’s buttocks with soap and water every time I change the diaper.”
b. “I will wash my infant with a mild soap and water and dry her thoroughly after a bowel movement.”
c. “I should wash my infant’s buttocks with soap before applying a thin layer of oil.”
d. “I will apply baby oil and powder to the creases in my infant’s buttocks.”
B
Which statement is true regarding atopic dermatitis (eczema) in the infant?
a. It is easily cured.
b. It is worse in humid climates.
c. It is associated with upper respiratory tract infections.
d. It is associated with allergy with a hereditary tendency.
D
Which is an appropriate nursing intervention when caring for an infant with atopic dermatitis?
a. Feed a variety of foods.
b. Keep lesions dry.
c. Prevent infection.
d. Use fabric softener to avoid rough cloth.
C
Tretinoin (Retin-A) is a topical agent commonly used to treat acne. What advice should the nurse provide to patients prescribed this drug?
a. Avoid using sunscreen agents.
b. Use cosmetics with lanolin and petrolatum.
c. Explain that medication should not be applied until at least 20 to 30 minutes after washing.
d. Explain that erythema and peeling are indications of toxicity.
C