C HAPTER 30: T HE C HILD WITH A S KIN
C ONDITION
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. What will the nurse include when teaching about general skin care
measures that could help prevent acne?
a. Eliminating chocolate, peanuts, and cola from the diet
b. Washing the face with a cleansing product frequentl y
c. Planning indoor activities to avoid sun exposure
d. Eating a balanced diet and getting sufficient rest
ANS: D
General hygienic measures of cleanliness, rest, and avoidance of
emotional stress may help prevent exacerbations.
DIF: Cognitive Level: Comprehension REF: Page 704
TOP: Acne Vulgaris KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiologic al Integrit y:
Reduction of Risk
2. The nurse caring for a patient with severe frostbite observes a purple flush
on the hands and feet. What is the most appropriate nursing action?
a. Report this sign immediatel y.
b. Place a warm tow over the extremities.
, c. Gentl y sponge with cool water.
d. Medicate for pain.
ANS: D
A purple flush indicates the return of sensation and causes extreme
pain.
DIF: Cognitive Level: Application REF: Page 717 TOP:
Frostbite KEY: Nursing Process Step: Implementation
MSC: NC LEX: Physiological Integrit y: Basic Care and
Comfort
3. A child is brought to the emergency department with burns on the face and
chest. What is the nurses first priorit y?
a. Assess respiratory status.
b. Administer pain medication.
c. Remove clothing.
d. Insert a Foley catheter.
ANS: A
Airway assessment and establishing an airway are the initial priorities.
DIF: Cognitive Level: Application REF: Page 713 TOP:
Burns KEY: Nursing Process Step: Implementation
MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Det ection of Disease
, 4. An adolescent girl with acne is being treated with an antibiotic in addition
to topical applications. What side effect does the nurse caution the girl to
expect?
a. Lessened effectiveness of oral contraceptives
b. Urinary burning and frequency
c. Breast engorgement
d. Vaginitis
ANS: D
Antibiotic therapy can cause a monilial vaginitis.
DIF: Cognitive Level: Comprehension REF: Page 704
TOP: Acne KEY: Nursing Process Step: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological
Therapies
5. The nurse observes a tarry stool from a 16 -year-old burn victim who has
been in the ICU for 2 weeks. Which complication does the nurse document
and report?
a. Diverticulitis
b. Stress diarrhea
c. Curlings ulcer
d. Perforated bowel
ANS: C
Curlings ulcer is a co mplication of burn victims resulting from the
stress of their trauma.
C ONDITION
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. What will the nurse include when teaching about general skin care
measures that could help prevent acne?
a. Eliminating chocolate, peanuts, and cola from the diet
b. Washing the face with a cleansing product frequentl y
c. Planning indoor activities to avoid sun exposure
d. Eating a balanced diet and getting sufficient rest
ANS: D
General hygienic measures of cleanliness, rest, and avoidance of
emotional stress may help prevent exacerbations.
DIF: Cognitive Level: Comprehension REF: Page 704
TOP: Acne Vulgaris KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiologic al Integrit y:
Reduction of Risk
2. The nurse caring for a patient with severe frostbite observes a purple flush
on the hands and feet. What is the most appropriate nursing action?
a. Report this sign immediatel y.
b. Place a warm tow over the extremities.
, c. Gentl y sponge with cool water.
d. Medicate for pain.
ANS: D
A purple flush indicates the return of sensation and causes extreme
pain.
DIF: Cognitive Level: Application REF: Page 717 TOP:
Frostbite KEY: Nursing Process Step: Implementation
MSC: NC LEX: Physiological Integrit y: Basic Care and
Comfort
3. A child is brought to the emergency department with burns on the face and
chest. What is the nurses first priorit y?
a. Assess respiratory status.
b. Administer pain medication.
c. Remove clothing.
d. Insert a Foley catheter.
ANS: A
Airway assessment and establishing an airway are the initial priorities.
DIF: Cognitive Level: Application REF: Page 713 TOP:
Burns KEY: Nursing Process Step: Implementation
MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Det ection of Disease
, 4. An adolescent girl with acne is being treated with an antibiotic in addition
to topical applications. What side effect does the nurse caution the girl to
expect?
a. Lessened effectiveness of oral contraceptives
b. Urinary burning and frequency
c. Breast engorgement
d. Vaginitis
ANS: D
Antibiotic therapy can cause a monilial vaginitis.
DIF: Cognitive Level: Comprehension REF: Page 704
TOP: Acne KEY: Nursing Process Step: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological
Therapies
5. The nurse observes a tarry stool from a 16 -year-old burn victim who has
been in the ICU for 2 weeks. Which complication does the nurse document
and report?
a. Diverticulitis
b. Stress diarrhea
c. Curlings ulcer
d. Perforated bowel
ANS: C
Curlings ulcer is a co mplication of burn victims resulting from the
stress of their trauma.
