Chapter 15. Skin
1. What should be included in teaching a parent about the management of small red macules
and vesicles that become pustules around the childs mouth and cheek?
a. Keep the child home from school for 24 hours after initiation of
antibiotic treatment.
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
To prevent the spread of impetigo to others, the child should be kept home from school for 24
hours after treatment is initiated. Good hand washing is imperative in preventing the spread of
impetigo. The lesions should be washed gently with a warm soapy washcloth three times a
day. Washcloth should not be shared with other members of the family. Itching is common
and does not necessitate medical treatment. Rather, parents should be taught to clip the childs
nails to prevent maceration of the lesions. The child may return to school 24 hours after
initiation of antibiotic treatment.
2. When taking a history of a child with cellulitis, which information would be most pertinent
for the nurse to assess?
a. Any medication the child is taking
b. Enlarged, mobile, and nontender lymph
nodes c. Childs 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. Medication history is important, but the
history of recent infections is more relevant to the diagnosis. Lymph nodes may be enlarged
(lymphadenitis), but they 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.
3. Which statement made by a parent indicates an understanding about the management of
a child with cellulitis?
a. I am supposed to continue the antibiotic until the redness and swelling
disappear. b. I have been putting ice on my sons arm to relieve the swelling.
c. I should call the doctor if the redness disappears.
d. I have been putting a warm soak on my sons arm every 4 hours.
ANS: D
Warm soaks applied every 4 hours while the child is awake increase circulation to the infected
area, relieve pain, and promote healing. The parent should not discontinue antibiotics when
signs of infection disappear. To ensure complete healing, the parent should understand that the
entire course of antibiotics should be given as prescribed. A warm soak is indicated for the
treatment of cellulitis. Ice will decrease circulation to the affected area and inhibit the healing
process. The disappearance of redness indicates healing and is not a reason to seek medical
advice.
4. What should the parents of an infant with thrush (oral candidiasis) be taught about
medication administration?
a. Give nystatin suspension with a syringe without a
needle. b. Apply nystatin cream to the affected area twice a
day.
c. Give nystatin just before the infant is fed.
d. Rub nystatin suspension onto the oral mucous membranes with a gloved
finger after feedings.
ANS: D
1. What should be included in teaching a parent about the management of small red macules
and vesicles that become pustules around the childs mouth and cheek?
a. Keep the child home from school for 24 hours after initiation of
antibiotic treatment.
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
To prevent the spread of impetigo to others, the child should be kept home from school for 24
hours after treatment is initiated. Good hand washing is imperative in preventing the spread of
impetigo. The lesions should be washed gently with a warm soapy washcloth three times a
day. Washcloth should not be shared with other members of the family. Itching is common
and does not necessitate medical treatment. Rather, parents should be taught to clip the childs
nails to prevent maceration of the lesions. The child may return to school 24 hours after
initiation of antibiotic treatment.
2. When taking a history of a child with cellulitis, which information would be most pertinent
for the nurse to assess?
a. Any medication the child is taking
b. Enlarged, mobile, and nontender lymph
nodes c. Childs 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. Medication history is important, but the
history of recent infections is more relevant to the diagnosis. Lymph nodes may be enlarged
(lymphadenitis), but they 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.
3. Which statement made by a parent indicates an understanding about the management of
a child with cellulitis?
a. I am supposed to continue the antibiotic until the redness and swelling
disappear. b. I have been putting ice on my sons arm to relieve the swelling.
c. I should call the doctor if the redness disappears.
d. I have been putting a warm soak on my sons arm every 4 hours.
ANS: D
Warm soaks applied every 4 hours while the child is awake increase circulation to the infected
area, relieve pain, and promote healing. The parent should not discontinue antibiotics when
signs of infection disappear. To ensure complete healing, the parent should understand that the
entire course of antibiotics should be given as prescribed. A warm soak is indicated for the
treatment of cellulitis. Ice will decrease circulation to the affected area and inhibit the healing
process. The disappearance of redness indicates healing and is not a reason to seek medical
advice.
4. What should the parents of an infant with thrush (oral candidiasis) be taught about
medication administration?
a. Give nystatin suspension with a syringe without a
needle. b. Apply nystatin cream to the affected area twice a
day.
c. Give nystatin just before the infant is fed.
d. Rub nystatin suspension onto the oral mucous membranes with a gloved
finger after feedings.
ANS: D
