Chapter 41:
The Child with an Integumentary Disorder/Communicable Disease
The nurse is teaching the parents of a child with varicella about the disorder. The nurse
determines that the teaching was successful when the parents state which of the
following?
Correct response:
“We will make sure to remind him not to scratch the lesions.”
The nurse is performing a physical examination on a 9-year-old boy who has
experienced a tick bite on his lower leg and is suspected of having Lyme disease.
Which assessment finding would the nurse expect to find?
Correct response:
Ring-like rash on lower leg
A nurse completes an assessment on an 8-month-old infant seen in the pediatrician’s
office for a well-child visit. The nurse notes that the infant’s buttocks, perineum and
inner thighs are covered in a thick coating of white ointment. When questioned, the
parent says the infant has a diaper rash and the ointment is to protect the infant’s skin.
What is the best action for the nurse to take?
Correct response:
Provide instruction on how to care for a diaper rash.
The nurse is caring for an infant brought to the clinic for a rash. The nurse notes a
blanchable, rose-pink macular rash on the trunk. The nurse obtains the following vital
signs: temperature 99.0°F (37°C), pulse 100 bpm, respiratory rate 22 breaths/minute,
and oxygen saturation 100% on room air. Which question by the nurse will
be most helpful when planning interventions?
Correct response:
“Has your child had a recent fever?”
A 6-year-old child is brought to the clinic by his parents. The parents state, "He had a
sore throat for a couple of days and now his temperature is over 102°F (38.9°C). He has
this rash on his face and chest that looks like sunburn but feels really rough." What
would the nurse suspect?
Correct response:
Scarlet fever
The nurse is caring for multiple clients on the pediatric unit. Which child will the nurse
see first?
, Correct response:
a child with erythema infectiosum experiencing fatigue and confusion
A nurse is teaching a community class on preventing lyme disease. The nurse
determines that the teaching was successful when the group makes which statement?
Correct response:
“When in the woods, we should wear jeans and tuck them inside our socks."
A nurse is providing care for a child who requires intravenous fluid replacement. The
child has burns over 32% of the body and weighs 40 lb (18.1 kg). Using the above
formula, how much fluid should the nurse administer over the first 8 hours? Record your
answer using one decimal place.
Correct response:
1158.4
An emergency department nurse is caring for a 5-year-old child who was just brought in
by ambulance with partial-thickness (second-degree) and full-thickness (third-degree)
burns to their face, neck, and chest. The client is awake and alert. Vital signs:
temperature, 97.2°F (36.2°C); heart rate, 148 beats/min; blood pressure, 68/39 mm Hg;
respiratory rate, 32 breaths/min; oxygen saturation, 90% on 2 liters by nasal cannula.
The nurse receives prescriptions for the client. Click to highlight the prescription(s) that
requires immediate implementation.
Prescriptions:
Apply oxygen to maintain oxygen saturations 95% or greater.
Administer 100 mcg/kg morphine via intravenous push (IVP) for pain prn q4 hour.
2
The Child with an Integumentary Disorder/Communicable Disease
The nurse is teaching the parents of a child with varicella about the disorder. The nurse
determines that the teaching was successful when the parents state which of the
following?
Correct response:
“We will make sure to remind him not to scratch the lesions.”
The nurse is performing a physical examination on a 9-year-old boy who has
experienced a tick bite on his lower leg and is suspected of having Lyme disease.
Which assessment finding would the nurse expect to find?
Correct response:
Ring-like rash on lower leg
A nurse completes an assessment on an 8-month-old infant seen in the pediatrician’s
office for a well-child visit. The nurse notes that the infant’s buttocks, perineum and
inner thighs are covered in a thick coating of white ointment. When questioned, the
parent says the infant has a diaper rash and the ointment is to protect the infant’s skin.
What is the best action for the nurse to take?
Correct response:
Provide instruction on how to care for a diaper rash.
The nurse is caring for an infant brought to the clinic for a rash. The nurse notes a
blanchable, rose-pink macular rash on the trunk. The nurse obtains the following vital
signs: temperature 99.0°F (37°C), pulse 100 bpm, respiratory rate 22 breaths/minute,
and oxygen saturation 100% on room air. Which question by the nurse will
be most helpful when planning interventions?
Correct response:
“Has your child had a recent fever?”
A 6-year-old child is brought to the clinic by his parents. The parents state, "He had a
sore throat for a couple of days and now his temperature is over 102°F (38.9°C). He has
this rash on his face and chest that looks like sunburn but feels really rough." What
would the nurse suspect?
Correct response:
Scarlet fever
The nurse is caring for multiple clients on the pediatric unit. Which child will the nurse
see first?
, Correct response:
a child with erythema infectiosum experiencing fatigue and confusion
A nurse is teaching a community class on preventing lyme disease. The nurse
determines that the teaching was successful when the group makes which statement?
Correct response:
“When in the woods, we should wear jeans and tuck them inside our socks."
A nurse is providing care for a child who requires intravenous fluid replacement. The
child has burns over 32% of the body and weighs 40 lb (18.1 kg). Using the above
formula, how much fluid should the nurse administer over the first 8 hours? Record your
answer using one decimal place.
Correct response:
1158.4
An emergency department nurse is caring for a 5-year-old child who was just brought in
by ambulance with partial-thickness (second-degree) and full-thickness (third-degree)
burns to their face, neck, and chest. The client is awake and alert. Vital signs:
temperature, 97.2°F (36.2°C); heart rate, 148 beats/min; blood pressure, 68/39 mm Hg;
respiratory rate, 32 breaths/min; oxygen saturation, 90% on 2 liters by nasal cannula.
The nurse receives prescriptions for the client. Click to highlight the prescription(s) that
requires immediate implementation.
Prescriptions:
Apply oxygen to maintain oxygen saturations 95% or greater.
Administer 100 mcg/kg morphine via intravenous push (IVP) for pain prn q4 hour.
2
