Burns Pediatric Study Guide 5 Qestions With Correct Answers

The primary care pediatric nurse practitioner is teaching a parent of a child with dry skin about hydrating the skin with bathing. What will the nurse practitioner include in teaching? - Answer Have the child soak in a lukewarm water bath A child will need an occlusive dressing to treat lichen simplex chronicus. What will the primary care pediatric nurse practitioner tell the parents about applying this treatment? - Answer Apply ointment before the dressing When prescribing topical glucocorticoids to treat inflammatory skin conditions, the primary care pediatric nurse practitioner will - Answer prescribe brandname preparations for consistent effects A preschool age child has honeycrusted lesions on erythematous, eroded skin around the nose and mouth, with satellite lesions on the arms and legs. The child's parent has several similar lesions and reports that other children in the day care have a similar rash. How will this be treated? - Answer Amoxicillinclavulanate 90 mg/kg/day for 10 days A child is brought to clinic with several bright red lesions on the buttocks. The primary care pediatric nurse practitioner examines the lesions and notes sharp margins and an "orange peel" look and feel. The child is afebrile and does not appear toxic. What is the course of treatment for these lesions? - Answer Initiate empiric antibiotic therapy and follow up in 24 hours to assess response An adolescent who recently spent time in a hot tub while on vacation has discrete, erythematous 1 to 2mm papules that are centered around hair follicles on the thighs, upper arms, and buttocks. How will the primary care pediatric nurse practitioner manage this condition? - Answer Prescribe topical keratolytics and topical antibiotics An infant is brought to clinic with bright erythema in the neck and flexural folds after recent treatment with antibiotics for otitis media. What is the treatment for this condition? - Answer Topical nystatin cream applied several times daily A schoolage child has several annular lesions on the abdomen characterized by central clearing with scaly, red borders. What is the first step in managing this condition? - Answer Treat empirically with antifungal cream. A child has several circular, scaly lesions on the arms and abdomen, some of which have central clearing. The primary care pediatric nurse practitioner notes a smaller, scaly lesion on the child's scalp. How will the nurse practitioner treat this child? - Answer Prescribe oral griseofulvin for 2 to 4 weeks A child is diagnosed with tinea versicolor. What is the correct management of this disorder? - Answer Application of selenium sulfide 2.5% lotion twice weekly for 2 to 4 weeks An adolescent female has grouped vesicles on her oral mucosa. To determine whether these are caused by HSV1 or HSV2, the primary care pediatric nurse practitioner will order which test? - Answer Viral culture A 4yearold child has clusters of small, clear, tense vesicles with an erythematous base on one side of the mouth along the vermillion border, which are causing discomfort and difficulty eating. What will the primary care pediatric nurse practitioner recommend as treatment? - Answer Topical diphenhydramine and magnesium hydroxide A previously healthy schoolage child develops herpes zoster on the lower back. What will the primary care pediatric nurse practitioner do to manage this condition? - Answer Order Burow solution and warm soothing baths as comfort measures. A child has small, firm, flesh colored papules in both axillae which are mildly pruritic. What is an acceptable initial approach to managing this condition? - Answer Reassuring the parents that these are benign and may disappear spontaneously A schoolage child is brought to clinic after a pediculosis capitis infestation is reported at the child's school. If this child is positive, what will the primary care pediatric nurse practitioner expect to find on physical examination, along with live lice near the scalp? - Answer Itching of the scalp, with skin excoriation on the back of the head A 3yearold child has head lice. What will the initial treatment recommendation be to treat this child? - Answer Permethrin A 9monthold infant has vesiculopustular lesions on the palms and soles, on the face and neck, and in skin folds of the extremities. The primary care pediatric nurse practitioner notes linear and Sshaped burrow lesions on the parent's hands and wrists. What is the treatment for this rash for this infant? - Answer Permethrin 5% cream applied to face, neck, and body and rinsed off in 8 to 14 hours An adolescent has acne with lesions on the cheeks and under the chin. Which distribution is this? - Answer Hormonal An adolescent has acne characterized by papules and pustules mostly on the forehead and chin. What will the primary care pediatric nurse practitioner prescribe? - Answer Topical erythromycin with benzoyl peroxide A child has an area of inflammation on the neck that began after wearing a handknot woolen sweater. On examination, the skin appears chafed with mild erythematous patches. The lesions are not pruritic. What is an appropriate initial treatment? - Answer Topical corticosteroids applied 2 to 3 times daily An adolescent who had cradle cap as an infant is in the clinic with thick crusts of yellow, greasy scales on the forehead and behind the ears. What will the primary care pediatric nurse practitioner recommend? - Answer Daily application of ketoconazole 2% topical cream A child is brought to the clinic with a generalized, annular rash characterized by raised wheals with pale centers. On physical examination, the child's lungs are clear and there is no peripheral edema. A history reveals ingestion of strawberries earlier in the day. What is the initial treatment? - Answer Diphenhydramine 0.5 to 1 mg/kg/dose every 4 to 6 hours A child who has been taking antibiotics is brought to the clinic with a rash. The parent reports that the child had a fever associated with what looked like sunburn and now has "blisters" all over. A physical examination shows coalescent target lesions and widespread bullae and areas of peeled skin revealing moist, red surfaces. What will the primary care pediatric nurse practitioner do? - Answer Consult with a pediatric intensivist for admission to a pediatric intensive care unit A schoolage child has a rash without fever or preceding symptoms. Physical examination reveals a 3cm ovoid, erythematous lesion on the trunk with a finely scaled elevated border, along with generalized macular, ovoid lesions appearing in a "Christmas tree" pattern on the child's back. What is the initial action? - Answer Reassure the child's parents that the rash is benign and selflimited A child who has psoriasis, who has been using a moderatepotency topical steroid on thick plaques on the extremities and a highpotency topical steroid on more severe plaques on the elbows and knees, continues to have worsening of plaques. In consultation with a dermatologist, which treatment will be added? - Answer Anthralin ointment in high strength applied for 10 to 30 minutes daily During a well child examination of an infant, the primary care pediatric nurse practitioner notes 10 café au lait spots on the infant's trunk. What is the potential concern associated with this finding? - Answer Neurofibromatosis The primary care pediatric nurse practitioner notes velvety, brown thickening of skin in the axillae, groin, and neck folds of an adolescent Hispanic female who is overweight. What is the initial step in managing this condition? - Answer Performing metabolic laboratory tests An African American child has recurrent tinea capitis and has just developed a new area of alopecia after successful treatment several months prior. When prescribing treatment with griseofulvin and selenium shampoo, what else will the primary care pediatric nurse practitioner do? - Answer Perform fungal cultures on family members and pets A schoolage child has a fractured wrist with a SalterHarris Type II fracture, according to the radiologist. What is true about this type of fracture? - Answer There is a metaphyseal fragment on the compression side of fracture What will the primary care pediatric nurse practitioner elicit when obtaining a positive Barlow maneuver when screening for developmental dysplasia of the hip? - Answer Dislocation of an unstable hip A 3yearold child is brought to the clinic by a parent who reports that the child refuses to use the right arm after being swung by both arms while playing. The child is sitting with the right arm held slightly flexed and close to the body. There is no swelling or ecchymosis present. What will the primary care pediatric nurse practitioner do? - Answer Gently attempt a supination and flexion technique.