Exam 16: Health Problems of the School-Age Child

The school nurse is seeing a child who collected some poison ivy leaves during recess. He says only his hands touched it. What is the most appropriate nursing action?

The school nurse is assessing a child's severely scraped knee for infection. What are signs of a wound infection? (Select all that apply.)

A toddler has a deep laceration contaminated with dirt and sand. Before closing the wound, the nurse should irrigate with what solution?

The nurse is teaching parents of a school-age child how to cleanse small wounds. What should the nurse advise the parents to avoid using to cleanse a wound? (Select all that apply.)

The nurse is explaining the purpose of using a vacuum-assisted closure (VAC) device to assist in the healing of a wound. What should the nurse explain as the purpose of using a VAC device?

Match the acute wound to its definition. -Removal of the superficial layers of skin by rubbing or scraping

MATCHING Many cutaneous lesions are associated with local symptoms. Match the symptom with its definition. -Absence of sensation

Match the acute wound to its definition. -Torn or jagged wound

Match the acute wound to its definition. -Division of the skin made with a sharp object

The nurse is caring for a child with a decubiti on the buttocks. The nurse notes that the dressing covering the decubiti is loose. What action should the nurse implement?

What is an important consideration in the diagnosis of attention deficit hyperactivity disorder (ADHD)?

Parents are concerned that their 6-year-old son continues to occasionally wet the bed. What does the nurse explain?

A parent calls the clinic nurse because his 7-year-old child was bitten by a black widow spider. What action should the nurse advise the parent to take?

MATCHING Many cutaneous lesions are associated with local symptoms. Match the symptom with its definition. -Itching

A health care provider prescribes paroxetine (Paxil), 20 mg, PO, daily for a child with depression. The medication label states: "Paroxetine (Paxil) 10 mg/1 tablet." The nurse prepares to administer one dose. How many tablet(s) should the nurse prepare to administer one dose? Fill in the blank. Record your answer as a whole number. ________________

The nurse is caring for a child with erythema multiforme (Stevens-Johnson syndrome). What local manifestations does the nurse expect to assess in this child? (Select all that apply.)

MATCHING Many cutaneous lesions are associated with local symptoms. Match the symptom with its definition. -Abnormal sensation

The nurse is teaching a school-age child about factors that can delay wound healing. What factors should the nurse include in the teaching session? (Select all that apply.)

The nurse is caring for a child who has a temperature of 30° C (86° F). What physical effects of hypothermia should the nurse expect to observe in this child? (Select all that apply.)

The nurse is assisting the family of a child with a history of encopresis. What should be included in the nurse's discussion with the family?