Quiz
CHP 30
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Questions in this quiz (34)
1The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2- month-old. How is infant skin different from adult skin?
- ALess perfusion
- BGreater moisture
- CMore perspiration
- DGreater absorption
2What risk is increased with children who have been diagnosed with infantile eczema?
- APneumonia
- BAcne
- CSun sensitivity
- DAsthma
3What is the appropriate technique for the application of a topical treatment for a child with eczema?
- AApply skin lotions in a circular motion.
- BApply prescribed ointments with a gloved hand.
- CApply as much and as frequently as relieves the symptoms.
- DChoose lanolin-based ointments.
4A 2-day-old infant is noted to have small pustules on her skin. What is the best nursing action?
- AReport it immediately because it may be a staphylococcus infection.
- BKeep the affected area dry and clean.
- CTeach the parents how to care for seborrheic dermatitis.
- DChart the finding because it may be the beginning of a strawberry nevus.
5The home health nurse discovers a family infected with pediculosis. What information can the nurse provide to the mother to start eradication of the lice?
- ACover the hair with Vaseline
- BApply a soda-vinegar solution to the hair
- CComb through the hair with vinegar-water solution
- DShampoo the hair with dish detergent
6A group of football players is taking oral griseofulvin for tinea pedis. What should the school nurse caution them to avoid?
- ACitrus fruit and juice
- BEating shellfish
- CAlcohol consumption
- DTaking corticosteroids
7What should the nurse suggest before a 17-year-old girl starts a protocol of isotretinoin (Accutane) for her acne?
- AGet a prescription for oral contraceptives.
- BIncrease the dose of the present medication.
- CLimit intake of chocolate, cola, and peanuts.
- DIncrease exposure to sunlight.
8A child had a burn, evidenced by pink skin and blistering. The child complains of pain and is crying. How does the nurse classify this burn when documenting? A second-degree superficial burn appears blistered, moist, and pink or red. The pain associated with this burn indicates tissue viability.
- AFirst-degree
- BSecond-degree superficial
- CSecond-degree deep dermal
- DThird-degree
9A child has sustained a second-degree deep thermal burn to the hand. What is the best first action to take?
- AImmerse the burned area in cold water
- BApply ice to the burned area
- CBreak any blisters that are present
- DApply petroleum jelly to the burned skin
10Which allergy would contraindicate the use of silver sulfadiazine (Silvadene) as a topical agent for burns?
- APenicillin
- BIodine
- CTetanus immunizations
- DSulfa
11What would help the child with a serious burn meet nutritional needs during the subacute phase of recovery?
- AFrequent meals and snacks high in calories, protein, and iron are needed to meet the increased metabolic needs of the child with burns.
- BIncrease calories and protein to compensate for the healing process.
- CIncrease fat to replace the layer of fat next to the burned skin.
- DDecrease carbohydrates and starches because the pancreas is strained by the healing process.
12Which statement made by a parent indicates an understanding of the topical application of medications for a skin condition?
- AI apply the medication after I give my child a bath.
- BI rub the ointment in a circular motion over the rash.
- CI increased the amount of cream because the rash was not improving.
- DI use powder and cornstarch to keep the skin dry.
13On the first day following a severe burn, the bodys fluid reserves have left the circulating volume and entered the interstitial space, causing massive edema. What should the nurse monitor for very closely in the burn victim?
- AIncreased intracranial pressure
- BReduced urine output
- CEschar formation
- DFluid overload
14At a 2-month well-child visit, parents ask the nurse about the red area on the infants neck. They tell the nurse that the mark appeared a few weeks after birth. What does the nurse recognize this skin lesion as?
- AA port wine nevus
- BA strawberry nevus
- CExanthem
- DIntertrigo
15A mother is concerned about what might have caused a heat rash on her infant. The nurse observes tiny pinhead-sized reddened papules on the infants neck and axilla. What does the nurse explain as the most likely cause of this rash?
- ASun exposure
- BAllergic reaction
- CInfection
- DHeat and moisture
16What is the correct nursing response to a mother who asks, How can I get rid of the babys cradle cap?
- ARub baby oil on the infants head at night and shampoo the hair the next morning.
- BUse a brush with firm bristles to loosen the scales on the babys head several times a day.
- CWash the babys head every night with a dandruff-control shampoo.
- DLubricate the babys head every morning with a small amount of olive oil.
17Which statement made by a parent indicates the need for further teaching about strategies to control itching for the infant with eczema?
- AWool is the best fabric for the infants clothing.
- BI should avoid laundry detergents with fragrances.
- CI put cotton gloves on the infants hands.
- DThe infants fingernails are kept short.
18What will the nurse include when teaching about general skin care measures that could help prevent acne?
- AEliminating chocolate, peanuts, and cola from the diet
- BWashing the face with a cleansing product frequently
- CPlanning indoor activities to avoid sun exposure
- DEating a balanced diet and getting sufficient rest
19The nurse caring for a patient with severe frostbite observes a purple flush on the hands and feet. What is the most appropriate nursing action?
- AReport this sign immediately.
- BPlace a warm towel over the extremities.
- CGently sponge with cool water.
- DMedicate for pain.
20A child is brought to the emergency department with burns on the face and chest. What is the nurses first priority?
- AAssess respiratory status
- BAdminister pain medication
- CRemove clothing
- DInsert a Foley catheter
21An adolescent girl with acne is being treated with an antibiotic in addition to topical applications. What side effect does the nurse caution the girl to expect?
- ALessened effectiveness of oral contraceptives
- BUrinary burning and frequency
- CBreast engorgement
- DVaginitis
22The nurse observes a tarry stool from a 16-year-old burn victim who has been in the ICU for 2 weeks. Which complication does the nurse document and report?
- ADiverticulitis
- BStress diarrhea
- CCurlings ulcer
- DPerforated bowel
23A child is brought to the emergency department with severe frostbite. Which body parts should be warmed first?
- AHands and arms
- BFeet and legs
- CFingers and toes
- DHead and torso
24An adolescent is at the pediatricians office because he has been experiencing intense itching, particularly in the axilla and between the fingers. The itching is worse during the night and he has not been sleeping well. With what is this symptom associated?
- AScabies
- BPediculosis capitis
- CTinea corporis
- DEczema
25What should the nurse stress to the mother of a child with impetigo?
- AThe condition is caused by the herpes simplex virus type I.
- BThe crusts on the lesions should be left in place.
- CThe lesions may spread, but the disease is not contagious.
- DSmall cuts and bites should be treated promptly.
26The nurse is caring for a 3-year-old with severe burns. What is the nurse aware is the minimum adequate hourly urine output?
- A5 mL/hr
- B10 mL/hr
- C15 mL/hr
- D20 mL/hr
27An adolescent patient at a pediatric clinic presents with a butterfly rash. What diagnosis does the nurse suspect?
- ATuberous sclerosis
- BEczema
- CPsoriasis
- DSystemic lupus erythematosus
28The nurse is documenting a description of a skin assessment. What term can be used for an elevated, fluid-filled blister?
- APustule
- BPapule
- CWheal
- DVesicle
29What should the nurse keep in mind when providing care to the school-age child hospitalized with a burn injury?
- AHospitalization will be brief.
- BAnalgesics should be given immediately after dressing changes.
- CContact with peers should be maintained.
- DParents usually handle injury worse than the child.
30Parents of a child show the nurse that their child has a flat strawberry nevus. What information can the nurse provide in educating the parents regarding strawberry nevus? (Select all that apply.)
- AIt is a rare skin variation
- BIt is harmless
- CIt gradually becomes raised
- DLaser treatment is available
- ESometimes it can disappear spontaneously
31What would the nurse teach parents to do in order to avoid diaper rash? (Select all that apply.)
- AUse ointments
- BKeep perineum covered at all times
- CUse disposable diapers
- DAvoid plastic bloomers or pants
- EChange diaper frequently
32The nurse speaking to a group of junior high school students informs them that acne can be exacerbated by which drug(s)? (Select all that apply.)
- ASteroids
- BPhenytoin
- CPhenobarbital
- DAspirin
- EOral contraceptives
33What intervention(s) would the nurse preparing a teaching plan for the care of a child with infantile eczema include? (Select all that apply.)
- ABathe the child using products with a light fragrance.
- BUse oatmeal and baking soda as bath additives.
- CAdd bath oil to bath water after the child has soaked.
- DApply lanolin-based lotions after the bath.
- EBathe child several times a day.
34Which factor(s) activate the herpes simplex virus type I? (Select all that apply.)
- AStress
- BSun
- CMenses
- DFever
- EFood allergies
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- Quiz on CHP 30, created by ALEX BO on 24/10/2022.
- Author
- ALEX BO
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- English
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