PEDS DERM PRACTICE QUESTIONS WITH VERIFIED SOLUTIONS

The nurse is teaching the mother of a toddler about burn prevention. Which response by the mother indicates a need for further teaching? A) "We will leave fireworks displays to the professionals." B) "I will set our water heater at 130 degrees." C) "All sleepwear should be flame retardant." D) "The handles of pots on the stove should face inward." B) "I will set our water heater at 130 degrees." The nurse is teaching about skin care for atopic dermatitis. Which statement by the parent indicates that further teaching may be necessary? a. "I will use Vaseline or Crisco to moisturize my child's skin." b. "A hot bath will soothe my child's itching when it is severe." c. "I will buy cotton rather than wool or synthetic clothing for my child." d. "I will apply a small amount of the prescribed cream after the bath." b. "A hot bath will soothe my child's itching when it is severe." The nurse is caring for a child who has received significant partial-thickness burns to the lower body. What is the priority assessment in the first 24 hours after injury? a. fluid balance b. wound infection c. respiratory arrest d. separation anxiety a. fluid balance The nurse is caring for an infant on the pediatric unit who has a very red rash in the diaper area, with red lesions scattered on the abdomen and thighs. What is the priority nursing intervention? a. Administer griseofulvin with a fatty meal. b. Institute contact isolation precautions. c. Apply topical antibiotic cream. d. Apply topical antifungal cream. d. Apply topical antifungal cream. A varsity high-school wrestler presents with a "rug burn" type of rash on his shoulder that is not healing as expected, despite use of triple antibiotic cream. Two other wrestlers on his team have a similar abrasion. What infection should the nurse be most concerned about, based on the history? a. tinea cruris b. MRSA c. impetigo d. tinea versicolor b. MRSA The nurse is providing parental teaching about home care for an 8-year-old boy with widespread sunburn on his back and shoulders. Which of the following responses indicates a need for further teaching? A) "Cool compresses may help cool the burn." B) "He should manually peel off any flaking skin." C) "Nonsteroidal anti-inflammatory drugs like ibuprofen are helpful." D) "He should avoid hot showers or baths for a couple of days." B) "He should manually peel off any flaking skin." The nurse is caring for an infant with candidal diaper rash. Which topical agent would the nurse expect the physician to order? A) Corticosteroids B) Antifungals C) Antibiotics D) Retinoids B) Antifungals The nurse is caring for a child with widespread itching and has recommended bathing as a relief measure. After teaching the mother about this, which statement from the mother indicates a need for further instruction? A) "After bathing, I need to rub his skin everywhere to make sure he is completely dry." B) "I must make sure I use lukewarm water instead of hot water." C) "Oatmeal baths are helpful; we can add Aveeno skin relief bath treatment." D) "We should leave his skin moist before applying medication or moisturizer." A) "After bathing, I need to rub his skin everywhere to make sure he is completely dry." A nurse is assessing the skin of a child with cellulitis. Which of the following would the nurse expect to find? A) Red raised hair follicles B) Warmth at skin disruption site C) Papules progressing to vesicles D) Honey-colored exudate B) Warmth at skin disruption site When developing the plan of care for a child with burns requiring fluid replacement therapy, which of the following would the nurse expect to include? A) Administration of colloid initially followed by a crystalloid B) Determination of fluid replacement based on the type of burn C) Administration of most of the volume during the first 8 hours D) Monitoring of hourly urine output to achieve less than 1 mL/kg/hour C) Administration of most of the volume during the first 8 hours Which of the following would the nurse include when teaching an adolescent about tinea pedis? A) "Keep your feet moist and open to the air as much as possible." B) "Dry the area between your toes really well." C) "Wear nylon or synthetic socks every day." D) "Go barefoot when you are in the locker room at school." B) "Dry the area between your toes really well." A child is diagnosed with atopic dermatitis. Which laboratory test would the nurse expect the child to undergo to provide additional evidence for this condition? A) Erythrocyte sedimentation rate B) Potassium hydroxide prep C) Wound culture D) Serum immunoglobulin E level D) Serum immunoglobulin E level The nurse is providing care to a child with folliculitis. Which of the following would the nurse expect to administer? A) Topical mupirocin B) Oral cephalosporin C) Intravenous oxacillin D) Topical Eucerin cream A) Topical mupirocin A nurse is preparing a class for parents of infants about managing diaper dermatitis. Which of the following would the nurse include in the presentation? Select all answers that apply. A) Applying topical nystatin to the diaper area B) Using a blow dryer on warm to dry the diaper area C)Refraining from using rubber pants over diapers D) Using scented diaper wipes to clean the area E) Washing the diaper area with an antibacterial soap A) Applying topical nystatin to the diaper area B) Using a blow dryer on warm to dry the diaper area C)Refraining from using rubber pants over diapers A nurse is inspecting the skin of a child with atopic dermatitis. Which of the following would the nurse expect to observe? A) Erythematous papulovesicular rash B) Dry, red, scaly rash with lichenification C) Pustular vesicles with honey-colored exudates D) Hypopigmented oval scaly lesions B) Dry, red, scaly rash with lichenification A nurse is performing a primary survey on a child who has sustained partial thickness burns over his upper body areas. Which of the following would the nurse do first? A) Inspect the child's skin color B) Assess for a patent airway C) Observe for symmetric breathing D) Palpate the child's pulse B) Assess for a patent airway As part of a clinical conference with a group of nursing students, the instructor is describing the burn classification. The instructor determines that the teaching has been successful when the group identifies which of the following as characteristic of full thickness burns? A) Skin that is reddened, dry, and slightly swollen B) Skin appearing wet with significant pain C) Skin with blistering and swelling D) Skin that is leathery and dry with some numbness D) Skin that is leathery and dry with some numbness A 4-year-old is brought to the emergency department with a burn. Which of the following would alert the nurse to the possibility of child abuse? A) Burn assessment correlates with mother's report of contact with a portable heater. B) Parents state that the injury occurred approximately 15 to 20 minutes ago. C) Clear delineations are noted between burned and nonburned skin areas. D) The burn area appears asymmetric and nonuniform. C) Clear delineations are noted between burned and nonburned skin areas.