An infant who has chronic diaper dermatitis is being evaluated in the clinic. The parent states she is keeping the infant dry, using a nonsoap cleaner and alcohol-free wipes. She says the stools are somewhat loose. The physician wants to evaluate for a possible infection seen in 90% of chronic diaper dermatitis by what micro-organism?
Candida albicans
The most important function related to the prevention of cross contamination of the staphylococci bacterial skin infection from one patient to another is:
hand hygiene.
The clinic nurse is reviewing self-care management of acne vulgaris with an adolescent client. Which client statement indicates a need for further instruction?
“I have been scrubbing my face twice daily with antibacterial soap.
The community health nurse is planning an education program for adolescents about skin care for acne vulgaris. Which of the following teaching points are appropriate to include? (Select all that apply.)
A well-balanced diet can help support healthy skin.
Antibacterial soap is harsh and can worsen acne.
Squeezing or picking lesions may increase the risk for infection and
scarring.
Use skincare products labeled as noncomedogenic to
prevent clogging skin pores.
An 18-month-old with pediculosis capitis (head lice). What is the drug of choice?
Permethrin 1%
An 18-month-old child has been diagnosed with pediculosis capitis (head lice). Which prescription should the nurse question if ordered for the child?
Malathion (Ovide)
A 3-month-old seen in peds clinic has seborrhea dermatitis (cradle cap). What instruction to give?
Shampoo the scalp daily until the crust is removed.
The nurse is teaching parents about caring for their infant with seborrheic dermatitis (cradle cap). Which statement by the parents indicates understanding of the teaching?
We will use a fine- tooth comb to help remove the loosened crusts from the strands of hair.” (antiseborrheic shampoo should be done daily).
How should a nurse instruct the parent of a 3-month-old with seborrheic dermatitis (Cradle Cap) to shampoo the child’s hair?
Use a soft brush or fine tooth comb to gently scrub the area.
Choose the appropriate therapeutic measures used in a pediculosis capitis infestation. (Select all that apply.)
Manual removal of nits
Second pediculicide treatment at 7 to 10 days
Focus on prevention and spread of pediculosis
The major initial goal in managing atopic dermatitis would include: (Select all that apply.)
skin hydration.
relieve pruritus.
reduce inflammation.
prevent secondary infection.
The clinic nurse completed a teaching session with a 16-year-old patient who is being treated for acne vulgaris. Which statement indicates understanding of the teaching points?
I will use a gentle cleanser once or twice daily.”
What is the most common skin problem in the adolescent population?
Acne vulgaris
An infant with recurring atopic dermatitis (eczema) is seen in peds clinic because of a recent exacerbation. Which suggestion should the nurse provide to the parents?
Apply petroleum jelly to skin after daily bath.
A 2-year-old is diagnosed with atopic dermatitis (eczema). Which instructions should the nurse teach the parents? Select all that apply.
Apply emollient immediately after bath.
Give tepid baths with mild soap
Keep child's nails well-trimmed
An older school-age child asks the nurse, “What is the reason for this topical corticosteroid cream?” What rationale should the nurse give?
The cream is used for an anti-inflammatory effect.
The mother of a 4-month-old asks the nurse for advice in preventing diaper rash. What suggestion should the nurse provide?
Use a barrier cream, such as zinc oxide, which does not have to be completely removed with each diaper change
Erythema Migrans is an annular rash commonly seen with which of the following infections
Lyme Disease
Signs and symptoms of child in summer camp with Lyme disease?
Treat with antibiotic Doxycycline,
spirochete that enters skin through tick bite,
disease seen in three stages.
A 6-year old child in the ED is diagnosed with Lyme Disease. The nurse anticipates that the health care provider orders will include the administration of?
amoxicillin
Which statement by a school aged client going to summer camp indicates the best understanding of the mode of transmission of Lyme disease?
I have to wear long sleeves and pants when we’re hiking around the pond.
A child has been diagnosed with scabies which statement by the parent indicates understanding of the nurses teaching about scabies
Everyone who has been in close contact with my child will need to be treated
When giving instructions to a parent whose child has scabies what should the nurse include?
Be prepared for symptoms to lasts 2 to 3 weeks
When giving instructions to a parent whose child has scabies what should the nurse include?
The scabies cream can be used for infants over 2 months old
The clinic nurse provides teaching for a parent of a child diagnosed with scabies which instructions should the nurse include in the teaching plan?(SATA)
Apply the permethrin cream to all skin surfaces
All persons in close contact with the child need treatment
wash the childs clothing and bedding in hot water
A child has been diagnosed with scabies which statement by the parent indicates understanding of the nurses teaching about scabies
Everyone who has been in close contact with my child will need to be treated