Chapter 52: Integumentary Dysfunction Perry: Maternal Child Care Nursing in Canada
MULTIPLE CHOICE
1. A child falls on the playground and has a small laceration on the forearm. What should the
school nurse do to cleanse the wound?
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
non stinging povidone-iodine solution.
d. Wash wound with mild soap and water
or saline for several minutes.
ANS: D
Lacerations should be washed with mild soap and water or normal saline. A sterile pad is not
necessary, and hydrogen peroxide and povidone-iodine should not be used because they have
a cytotoxic effect on healthy cells and minimal effect on controlling infection. Soaking the arm
does not effectively clean the wound.
Cognitive Level: Application p. 1674
Nursing Process: Implementation
2. A child steps on a nail and sustains a puncture wound in the foot. What is the most appropriate
method for cleansing this wound?
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.
ANS: C
Puncture wounds should be cleansed by soaking the foot in warm water and soap.
Chlorhexidine, hydrogen peroxide, and povidone-iodine should not be used because they have
a cytotoxic effect on healthy cells and minimal effect on controlling infection.
DIF: Cognitive Level: Application REF: p. 1674
, DIF: REF:
OBJ:
OBJ: Nursing Process: Implementation
3. What is one important nursing consideration when caring for a child with impetigo contagiosa?
a. Apply topical corticosteroids to
decrease inflammation.
b. Carefully remove dressings so as not
to dislodge undermined skin, crusts,
and debris.
c. Practise good hand hygiene and
maintain cleanliness when caring for
an infected child.
d. Examine child under a Wood lamp for
possible spread of lesions.
ANS: C
A major nursing goal related to bacterial skin infections such as impetigo contagiosa is to
prevent the spread of the infection and complications. This is done using thorough hand
hygiene before and after contact with the affected child. Corticosteroids are not indicated in
bacterial infections. Dressings are usually not indicated. The undermined skin, crusts, and
debris are carefully removed after softening with moist compresses. A Wood lamp is used to
detect fluorescent materials in the skin and hair in certain disease states such as tinea capitis.
Cognitive Level: Comprehension p. 1677
Nursing Process: Implementation
4. Impetigo ordinarily results in which outcome?
a. No scarring
b. Pigmented spots
c. Slightly depressed scars
d. Atrophic white scars
ANS: A
Impetigo tends to heal without scarring unless a secondary infection occurs.
DIF: Cognitive Level: Comprehension REF: p. 1676 | Table 52-2
OBJ: Nursing Process: Assessment
, DIF: REF:
OBJ:
5. What is often a cause of cellulitis?
a. Herpes zoster
b. Candida albicans
c. Human papillomavirus
d. Streptococcus or Staphylococcus
organisms
ANS: D
Streptococcus, Staphylococcus, and Haemophilus influenzae are the organisms usually
responsible for cellulitis. Herpes zoster is the virus associated with varicella and shingles.
Candida albicans is associated with candidiasis or thrush. Human papillomavirus is associated
with various types of human warts.
DIF: Cognitive Level: ComprehensionREF: p. 1676 | Table 52-2 OBJ:
Nursing Process: Assessment
6. Lymphangitis (“streaking”) is frequently seen in which condition?
a. Cellulitis
b. Folliculitis
c. Impetigo contagiosa
d. Staphylococcal scalded skin
ANS: A
Lymphangitis, known as streaking, is frequently seen in cellulitis. If present, hospitalization is
usually required for parenteral antibiotic. Lymphangitis is not associated with folliculitis,
impetigo, or staphylococcal scalded skin.
Cognitive Level: Analysis Nursing
Process: Assessment
7. What causes warts?
p. 1676 | Table 52-2
a. Bacteria
b. Fungus
c. Parasite
d. Virus
ANS: D
MULTIPLE CHOICE
1. A child falls on the playground and has a small laceration on the forearm. What should the
school nurse do to cleanse the wound?
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
non stinging povidone-iodine solution.
d. Wash wound with mild soap and water
or saline for several minutes.
ANS: D
Lacerations should be washed with mild soap and water or normal saline. A sterile pad is not
necessary, and hydrogen peroxide and povidone-iodine should not be used because they have
a cytotoxic effect on healthy cells and minimal effect on controlling infection. Soaking the arm
does not effectively clean the wound.
Cognitive Level: Application p. 1674
Nursing Process: Implementation
2. A child steps on a nail and sustains a puncture wound in the foot. What is the most appropriate
method for cleansing this wound?
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.
ANS: C
Puncture wounds should be cleansed by soaking the foot in warm water and soap.
Chlorhexidine, hydrogen peroxide, and povidone-iodine should not be used because they have
a cytotoxic effect on healthy cells and minimal effect on controlling infection.
DIF: Cognitive Level: Application REF: p. 1674
, DIF: REF:
OBJ:
OBJ: Nursing Process: Implementation
3. What is one important nursing consideration when caring for a child with impetigo contagiosa?
a. Apply topical corticosteroids to
decrease inflammation.
b. Carefully remove dressings so as not
to dislodge undermined skin, crusts,
and debris.
c. Practise good hand hygiene and
maintain cleanliness when caring for
an infected child.
d. Examine child under a Wood lamp for
possible spread of lesions.
ANS: C
A major nursing goal related to bacterial skin infections such as impetigo contagiosa is to
prevent the spread of the infection and complications. This is done using thorough hand
hygiene before and after contact with the affected child. Corticosteroids are not indicated in
bacterial infections. Dressings are usually not indicated. The undermined skin, crusts, and
debris are carefully removed after softening with moist compresses. A Wood lamp is used to
detect fluorescent materials in the skin and hair in certain disease states such as tinea capitis.
Cognitive Level: Comprehension p. 1677
Nursing Process: Implementation
4. Impetigo ordinarily results in which outcome?
a. No scarring
b. Pigmented spots
c. Slightly depressed scars
d. Atrophic white scars
ANS: A
Impetigo tends to heal without scarring unless a secondary infection occurs.
DIF: Cognitive Level: Comprehension REF: p. 1676 | Table 52-2
OBJ: Nursing Process: Assessment
, DIF: REF:
OBJ:
5. What is often a cause of cellulitis?
a. Herpes zoster
b. Candida albicans
c. Human papillomavirus
d. Streptococcus or Staphylococcus
organisms
ANS: D
Streptococcus, Staphylococcus, and Haemophilus influenzae are the organisms usually
responsible for cellulitis. Herpes zoster is the virus associated with varicella and shingles.
Candida albicans is associated with candidiasis or thrush. Human papillomavirus is associated
with various types of human warts.
DIF: Cognitive Level: ComprehensionREF: p. 1676 | Table 52-2 OBJ:
Nursing Process: Assessment
6. Lymphangitis (“streaking”) is frequently seen in which condition?
a. Cellulitis
b. Folliculitis
c. Impetigo contagiosa
d. Staphylococcal scalded skin
ANS: A
Lymphangitis, known as streaking, is frequently seen in cellulitis. If present, hospitalization is
usually required for parenteral antibiotic. Lymphangitis is not associated with folliculitis,
impetigo, or staphylococcal scalded skin.
Cognitive Level: Analysis Nursing
Process: Assessment
7. What causes warts?
p. 1676 | Table 52-2
a. Bacteria
b. Fungus
c. Parasite
d. Virus
ANS: D
