Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 49: The Child with an Alteration in Tissue Integrity Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+

Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 49: The Child with an Alteration in Tissue Integrity Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ A child has small red macules and vesicles that become pustules around the child’s mouth andcheek. Older lesions are crusted and honey-colored. What should the nurse teach the parents about this condition? a. Keep the child home from school for 24 hours after starting antibiotics. b. Clean the rash vigorously with Betadine three times a day. c. Notify the physician for any itching. d. Keep the child home from school until the lesions are healed. ANS: A This child has impetigo. To prevent the spread of impetigo to others, the child should be kepthome from school for 24 hours after treatment is initiated. Good handwashing is imperative in preventing the spread of impetigo. The lesions should be washed gently with a warm soapywashcloth. Itching is common and does not necessitate medical treatment. Rather, parents should be taught to clip the child’s nails to prevent maceration of the lesions. The washcloth should not be shared with other members of the family. The child may return to school 24 hours after initiation of antibiotic treatment. PTS: 1 DIF: Cognitive Level: Knowledge/RememberingREF: p. 1178 OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity 2. When taking a history on a child with a possible diagnosis of cellulitis, what should bethe priority nursing assessment to help establish a diagnosis? a. Any pain the child is experiencing b. Enlarged, mobile, and nontender lymph nodes c. Child’s urinalysis results d. Recent infections or signs of infection ANS: D Cellulitis may follow an upper respiratory infection, sinusitis, otitis media, or a tooth abscess. The affected area is red, hot, tender, and indurated. Pain is important, but the history of recent infections is more relevant to the diagnosis. Lymph nodes may be enlarged (lymphadenitis), butthey are not mobile and are nontender. Lymphangitis may be seen with red “streaking” of the surrounding area. An abnormal urinalysis result is not usually associated with cellulitis. PTS: 1 DIF: Cognitive Level: Knowledge/RememberingREF: p. 1179 OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity