Question 1

A child is admitted with extensive burns.The nurse notes that there are burns on the child's lips and singed nasal hairs.The nurse should suspect that the child has:

Accepted Answer

A) A chemical burn. 
B) An inhalation injury. 
C) An electrical burn. 
D) A hot-water scald.

Question 2

An important nursing consideration when caring for a child with impetigo contagiosa is to:

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's lamp for possible spread of lesions.

Question 3

A high-protein diet for the child with major burns is ordered to:

Accepted Answer

A) Promote growth. 
B) Improve appetite. 
C) Diminish risks of stress-induced hyperglycemia. 
D) Avoid protein breakdown.

Question 4

The management of a child who has just been stung by a bee or wasp should include the application of:

Accepted Answer

A) Cool compresses. 
B) Warm compresses. 
C) Antibiotic cream. 
D) Corticosteroid cream.

Question 5

Nursing care of the infant with atopic dermatitis focuses on:

Accepted Answer

A) Feeding a variety of foods. 
B) Keeping lesions dry. 
C) Preventing infection. 
D) Using fabric softener to avoid rough cloth.

Question 6

The nurse is speaking with the parent of an infant with severe atopic dermatitis.What information 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 7

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 wash my infant's buttocks with soap and water every time I change the diaper." 
B) "I will wash with a mild soap and water and dry thoroughly whenever my infant has 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."

Question 8

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

Accepted Answer

A) Flea. 
B) Tick. 
C) Mosquito. 
D) Mouse or rat.

Question 9

A child experiences frostbite of the fingers after prolonged exposure to the cold.Which intervention would the nurse implement first?

Accepted Answer

A) Rapid rewarming of the fingers by placing in warm water 
B) Placing the hand in cool water 
C) Slow rewarming by wrapping in warm cloth 
D) Using an ice pack to keep cold until medical intervention is possible

Question 10

An adolescent girl is cooking on a gas stove when her bathrobe catches fire.Her father smothers the flames with a rug and calls an ambulance.She has sustained major burns over much of her body.What is important in her immediate care?

Accepted Answer

A) Wrap her in a blanket until help arrives 
B) Encourage her to drink clear liquids 
C) Place her in a tub of cool water 
D) Remove her burned clothing and jewelry

Question 11

Lymphangitis ("streaking")is frequently seen in:

Accepted Answer

A) Cellulitis. 
B) Folliculitis. 
C) Impetigo contagiosa. 
D) Staphylococcal scalded skin.

Question 12

A child with extensive burns requires debridement.The nurse should anticipate that a priority goal related to this procedure is to:

Accepted Answer

A) Reduce pain. 
B) Prevent bleeding. 
C) Maintain airway. 
D) Restore fluid balance.

Question 13

The nurse is caring for a school-age child with a tinea capitis (ringworm)infection.The nurse should expect that therapeutic management for this child includes:

Accepted Answer

A) Administering oral griseofulvin. 
B) Administering topical or oral antibiotics. 
C) Applying topical sulfonamides. 
D) Applying Burow's solution compresses to affected area.

Question 14

A child steps on a nail and sustains a puncture wound of the foot.The most appropriate method for cleansing this wound is to:

Accepted Answer

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.

Question 15

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 16

The family of a 4-month-old infant will be vacationing at the beach.The best recommendation to this family is to:

Accepted Answer

A) Use sun block on the infant's nose and ear tips. 
B) Use a topical sunscreen product with a sun protective factor of 15. 
C) Expose the infant to the sun for 15-minute increments. 
D) Keep the infant in total shade at all times.

Question 17

Which physiologic change causes 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 18

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 as a whole number.

Accepted Answer

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

Question 19

Where do the lesions of atopic dermatitis most commonly occur in the infant (Select all that apply)?

Accepted Answer

A) Cheeks 
B) Buttocks 
C) Extensor surfaces of arms and legs 
D) Back 
E) Trunk 
F)Scalp

Question 20

The nurse is examining 12-month-old Amy,who was brought to the clinic for persistent diaper rash.The nurse finds perianal inflammation with satellite lesions that cross the inguinal folds.This is most likely caused by:

Accepted Answer

A) Impetigo. 
B) Candida albicans. 
C) Urine and feces. 
D) Infrequent diapering.

Exam 47: Integumentary Dysfunction