Question 1

Biologic dressings are applied to a child with partial-thickness burns of both legs.Which nursing intervention should be implemented?

Accepted Answer

A) Observing wounds for bleeding 
B) Observing wounds for signs of infection 
C) Monitoring closely for signs of shock 
D) Splinting legs to prevent movement

Question 2

A nurse is caring for a 5-year-old child with a major burn.The health care provider has written a prescription to notify the health care provider if urine output falls to or below 2 ml/kg/hr.The child weighs 55 lb.The nurse should notify the health care provider if the milliliters of urine output is at or below _____ for an hour.(Record your answer in a whole number.)

Accepted Answer

The answer of A nurse is caring for a 5-year-old...

Question 3

Which should the nurse include when teaching parents about preventing childhood burn injuries? (Select all that apply.)

Accepted Answer

A) Keep hot liquids out of reach. 
B) Baby-proof electrical outlets. 
C) Turn water heater thermostats to a maximum of 150° F. 
D) Heat infant formula in the microwave. 
E) Test water temperature before placing your child in the tub bath.

Question 4

Rocky Mountain spotted fever is caused by the bite of a:

Accepted Answer

A) flea. 
B) tick. 
C) mosquito. 
D) mouse or rat.

Question 5

A school-age child falls on the playground and has a small laceration on the forearm.The school nurse should do which to cleanse the wound?

Accepted Answer

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 nonstinging povidone-iodine solution. 
D) Wash wound gently with mild soap and water for several minutes.

Question 6

The nurse is caring for a 5-year-old child with impetigo contagiosa.The parents ask the nurse what will happen to their child's skin after the infection has subsided and healed.Which answer should the nurse give?

Accepted Answer

A) There will be no scarring. 
B) There may be some pigmented spots. 
C) It is likely there will be some slightly depressed scars. 
D) There will be some atrophic white scars.

Question 7

The nurse is talking to a parent of an infant with severe atopic dermatitis (eczema).Which response(s)should the nurse reinforce with the parent? (Select all that apply.)

Accepted Answer

A) "You can use warm wet compresses to relieve discomfort." 
B) "You will need to keep your infant's skin well hydrated by using a mild soap in the bath." 
C) "You should bathe your baby in a bubble bath two times a day." 
D) "You will need to prevent your baby from scratching the area by using a mild antihistamine." 
E) "You can try a fabric softener in the laundry to avoid rough cloth." F) "You should apply an emollient to the skin immediately after a bath."

Question 8

Which explains physiologically the edema formation that occurs with burns?

Accepted Answer

A) Vasoconstriction 
B) Decreased capillary permeability 
C) Increased capillary permeability 
D) Decreased hydrostatic pressure within capillaries

Question 9

Which nursing consideration is important when caring for a child with impetigo contagiosa?

Accepted Answer

A) Apply topical corticosteroids to decrease inflammation. 
B) Carefully remove dressings so as not to dislodge undermined skin, crusts, and debris. 
C) Carefully wash hands and maintain cleanliness when caring for an infected child. 
D) Examine child under a Wood lamp for possible spread of lesions.

Question 10

Nitrous oxide is being administered to a child with extensive burn injuries.Which is the purpose of this medication?

Accepted Answer

A) Promote healing. 
B) Prevent infection. 
C) Provide anesthesia. 
D) Improve urinary output.

Question 11

Fentanyl and midazolam (Versed)are given before débridement of a child's burn wounds.Which is the rationale for administration of these medications?

Accepted Answer

A) Promote healing. 
B) Prevent infection. 
C) Provide pain relief. 
D) Limit amount of débridement that will be necessary.

Question 12

Cellulitis is often caused by:

Accepted Answer

A) herpes zoster. 
B) Candida albicans. 
C) human papillomavirus. 
D) Streptococcus or Staphylococcus organisms.

Question 13

Which prescribed treatment should the nurse plan to implement for a child with psoriasis?

Accepted Answer

A) Antihistamines 
B) Oral antibiotics 
C) Topical application of calamine lotion 
D) Tar and exposure to sunlight and ultraviolet light

Question 14

The nurse is teaching parents of toddlers about animal safety.Which should be included in the teaching session?

Accepted Answer

A) Petting dogs in the neighborhood should be encouraged to prevent fear of dogs. 
B) The toddler is safe to approach an animal if the animal is chained. 
C) It is permissible for your toddler to feed treats to a dog. 
D) Teach your toddler not to disturb an animal that is eating.

Question 15

A young child has sustained a minor burn to the foot.Which is recommended for treatment of a minor burn?

Accepted Answer

A) Apply ice to foot. 
B) Apply cortisone ointment. 
C) Apply an occlusive dressing. 
D) Cleanse the wound with a mild soap and tepid water.

Question 16

Herpes zoster is caused by the varicella virus and has an affinity for:

Accepted Answer

A) sympathetic nerve fibers. 
B) parasympathetic nerve fibers. 
C) posterior root ganglia and posterior horn of the spinal cord. 
D) lateral and dorsal columns of the spinal cord.

Question 17

Atopic dermatitis (eczema)in the infant is:

Accepted Answer

A) easily cured. 
B) worse in humid climates. 
C) associated with upper respiratory tract infections. 
D) associated with allergy with a hereditary tendency.

Question 18

The nurse is teaching a class on preventing diaper rash in newborns to a group of new parents.Which statement made by a parent indicates a correct understanding of the teaching?

Accepted Answer

A) "I should cleanse my infant's skin with a commercial diaper wipe every time I change the diaper." 
B) "If my infant's buttocks become slightly red, I will expose the skin to air." 
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."

Exam 30: The Child with Integumentary Dysfunction