Question 1

One of the first signs of overwhelming sepsis in a child with burn injuries is:

Accepted Answer

A) Seizures. 
B) Bradycardia. 
C) Disorientation. 
D) Decreased blood pressure. 
A) Seizures. 
B) Bradycardia. 
C) Disorientation. 
D) Decreased blood pressure.

Question 2

The community health nurse is teaching parents about prevention of the spread and reoccurrence of pediculosis (head lice).Which should the nurse include in the teaching session (Select all that apply)?

Accepted Answer

A) Dry-clean nonwashable items. 
B) Spray the environment with an insecticide. 
C) Seal nonwashable items in a plastic bag for 5 days. 
D) Boil combs and brushes for 10 minutes. 
E) Discourage sharing of personal items. 
A) Dry-clean nonwashable items. 
B) Spray the environment with an insecticide. 
C) Seal nonwashable items in a plastic bag for 5 days. 
D) Boil combs and brushes for 10 minutes. 
E) Discourage sharing of personal items.

Question 3

To best assess the child with severe burns for adequate perfusion,the nurse monitors:

Accepted Answer

A) Distal pulses. 
B) Skin turgor. 
C) Urine output. 
D) Mucous membranes. 
A) Distal pulses. 
B) Skin turgor. 
C) Urine output. 
D) Mucous membranes.

Question 4

The nurse is teaching parents of a 3-year-old with impetigo that they can anticipate:

Accepted Answer

A) No scarring. 
B) Pigmented spots. 
C) Slightly depressed scars. 
D) Atrophic white scars. 
A) No scarring. 
B) Pigmented spots. 
C) Slightly depressed scars. 
D) Atrophic white scars.

Question 5

Ringworm,frequently found in schoolchildren,is caused by:

Accepted Answer

A) Virus. 
B) Fungus. 
C) Allergic reaction. 
D) Bacterial infection. 
A) Virus. 
B) Fungus. 
C) Allergic reaction. 
D) Bacterial infection.

Question 6

Which statement regarding atopic dermatitis (eczema)in the infant is most accurate?

Accepted Answer

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. 
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.

Question 7

An important consideration for the nurse when changing dressings and applying topical medication to a child's abdomen and leg burns is to:

Accepted Answer

A) Apply topical medication with clean hands. 
B) Wash hands and forearms before and after dressing change. 
C) If dressings adhere to the wound, soak in hot water before removal. 
D) Apply dressing so that movement is limited during the healing process. 
A) Apply topical medication with clean hands. 
B) Wash hands and forearms before and after dressing change. 
C) If dressings adhere to the wound, soak in hot water before removal. 
D) Apply dressing so that movement is limited during the healing process.

Question 8

A mother calls the emergency department nurse because her child was stung by a scorpion.The nurse should recommend:

Accepted Answer

A) Administering antihistamine. 
B) Cleansing with soap and water. 
C) Keeping the child quiet and coming to emergency department. 
D) Removing the stinger and applying cool compresses. 
A) Administering antihistamine. 
B) Cleansing with soap and water. 
C) Keeping the child quiet and coming to emergency department. 
D) Removing the stinger and applying cool compresses.

Question 9

After the acute stage and during the healing process,the primary complication from burn injury is:

Accepted Answer

A) Asphyxia. 
B) Shock. 
C) Renal shutdown. 
D) Infection. 
A) Asphyxia. 
B) Shock. 
C) Renal shutdown. 
D) Infection.

Question 10

Tretinoin (Retin-A)is a topical agent commonly used to treat acne.Nursing considerations with this drug include:

Accepted Answer

A) Avoiding use of sunscreen agents. 
B) Using cosmetics with lanolin and petrolatum. 
C) Explaining that medication should not be applied until at least 20 to 30 minutes after washing. 
D) Explaining that erythema and peeling are indications of toxicity. 
A) Avoiding use of sunscreen agents. 
B) Using cosmetics with lanolin and petrolatum. 
C) Explaining that medication should not be applied until at least 20 to 30 minutes after washing. 
D) Explaining that erythema and peeling are indications of toxicity.

Question 11

The nurse should expect to assess which causative agent in a child who has warts?

Accepted Answer

A) Bacteria 
B) Fungus 
C) Parasite 
D) Virus 
A) Bacteria 
B) Fungus 
C) Parasite 
D) Virus

Question 12

The most immediate threat to life in children with thermal injuries is:

Accepted Answer

A) Shock. 
B) Anemia. 
C) Local infection. 
D) Systemic sepsis. 
A) Shock. 
B) Anemia. 
C) Local infection. 
D) Systemic sepsis.

Question 13

A toddler sustains a minor burn on the hand from hot coffee.The first action in treating this burn is to:

Accepted Answer

A) Apply ice to burned area. 
B) Hold the burned area under cool running water. 
C) Break any blisters with a sterile needle. 
D) Clean the wound with soap and warm water. 
A) Apply ice to burned area. 
B) Hold the burned area under cool running water. 
C) Break any blisters with a sterile needle. 
D) Clean the wound with soap and warm water.

Exam 47: Integumentary Dysfunction

One of the first signs of overwhelming sepsis in a child with burn injuries is:

The community health nurse is teaching parents about prevention of the spread and reoccurrence of pediculosis (head lice).Which should the nurse include in the teaching session (Select all that apply)?

To best assess the child with severe burns for adequate perfusion,the nurse monitors:

The nurse is teaching parents of a 3-year-old with impetigo that they can anticipate:

Ringworm,frequently found in schoolchildren,is caused by:

Which statement regarding atopic dermatitis (eczema)in the infant is most accurate?

An important consideration for the nurse when changing dressings and applying topical medication to a child's abdomen and leg burns is to:

A mother calls the emergency department nurse because her child was stung by a scorpion.The nurse should recommend:

After the acute stage and during the healing process,the primary complication from burn injury is:

Tretinoin (Retin-A)is a topical agent commonly used to treat acne.Nursing considerations with this drug include:

The nurse should expect to assess which causative agent in a child who has warts?

The most immediate threat to life in children with thermal injuries is:

A toddler sustains a minor burn on the hand from hot coffee.The first action in treating this burn is to:

21st Century Maternity Nursing

Community Care: the Family and Culture

Assessment and Health Promotion

Reproductive System Concerns

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Pain Management

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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