Exam 30: Caring for the Child With a Integumentary Condition

A child has been diagnosed with scabies and the parents are taught about the use of 5% permethrin lotion (Elimite).Which statement by the parents indicates the need for further instruction?

A child weighing 123 lb (56 kg)has been diagnosed with Rocky Mountain Spotted Fever.The nurse calculates that the correct dose,to be given twice a day,is ____________________.

A parent calls the pediatric clinic asking for advice on treating lice.The child has already been treated once with lindane (Qwell).Which advice from the nurse is the most appropriate?

A child takes anti-inflammatory medications for a chronic condition.The mother asks the nurse why the child's cuts and scrapes seem to take so long to heal.Which response by the nurse is the most appropriate?

The pediatric nurse knows that which child is most likely to bite another?

Paramedics bring a child to the emergency department with possible hypothermia.He walked to school without a coat and upon arrival he is noted to be shivering,nauseated,and uncoordinated.After removing the child's clothing,what nursing intervention does the nurse plan to implement?

A student is caring for a burned child on the burn unit.The student is performing burn care.Which action by the student requires intervention by the registered nurse?

A 20-lb (9-kg)child is having a severe allergic reaction.The school nurse has an EpiPen Jr.auto-injector containing 0.3 mg.Which action by the nurse is the most appropriate?

A nurse is caring for four patients on a general pediatric unit.The nurse identifies risk for impaired skin integrity as a nursing diagnosis for all four.Which patient's skin should the nurse assess first?

A child weighing 110 lb (50 kg)was involved in a car fire at 3 p.m.She did not reach the emergency department until 5 p.m.She suffered burns over 45% of her body.How fast does the nurse program the IV pump in order to deliver the first 50% of her fluid requirements? Using the standard Parkland formula,the nurse should program the IV pump at ____________________ mL/hour.

The student studying pediatric integumentary problems learns that which are functions of the skin?

A child weighing 34 kg (74.8 lb)has a burn encompassing 35% total body surface area (TBSA).Using the standard Parkland formula,the nurse calculates the child's initial 24-hour fluid requirement to be ____________________mL.

A student is learning about cutaneous skin reactions.Which description is correct?

A child has been in the burn unit for 13 days.Which nursing assessment indicates that a priority goal has been met?

The faculty member explains fungal skin diseases to a group of students.Which are the common types of this disorder?

A nurse assesses a pressure ulcer on a child and finds full-thickness loss of the dermal layer and visible subcutaneous fat.At which stage does the nurse document this pressure ulcer to be?

A child is brought to the emergency department from a house fire.She has singed eyebrows and sounds hoarse.After applying oxygen,which action by the nurse takes priority?

The nurse working in a community pediatric clinic knows that which are examples of secondary skin lesions?

A child presents to the emergency department with cutaneous manifestations of an allergic response.Which nursing diagnosis takes priority?

A child in the emergency department has cellulitis on the forearm.A nursing student is preparing to administer benzathine penicillin (Bicillin LA).Which action by the nursing student warrants intervention by the staff nurse?