Chapter 24: Nursing Care of the Child with an Integumentary Disorder – Flashcards

The nurse is caring for a 1-week-old child with a feeding intolerance. The mother expresses a concern with white scales that have began to flake off the infant's scalp and she asks the nurse what she can do to prevent this. Which of the following is the best nursing response? a) "Your child most likely has infantile seborrheic dermatitis, or cradle cap. There is no intervention needed and it should resolve in one week." b) "How often do you bathe your infant? The infant should have a thorough shampooing every day to prevent things like this." c) "Your child most likely has infantile seborrheic dermatitis, or cradle cap. You can care for it by cleansing the hair and scalp daily with baby shampoo. You can also apply baby oil to the area for 10 to 15 minutes and then rinse away the flakes." d) "Your child most likely has dandruff. You can treat it with daily with antiseborrheic shampoo."

The nurse is discussing dietary intake with the parents of a 4-year-old child who has been diagnosed with atopic dermatitis. Later nurse notes the menu selection made by the parents for the child. Which selection indicates the need for further instruction? a) Peanut butter and jelly sandwich b) Carrot and celery sticks c) Tomato soup d) Chicken nuggets

The nurse is caring for a 10-month-old with a rash. The child's mother reports that the onset was abrupt. The nurse assesses diffuse erythema and skin tenderness with, ruptured bullae in the axillary area with red weeping surface. The nurse suspects which of the following bacterial infections? a) Scalded skin syndrome b) Folliculitis c) Impetigo d) Non-bullous impetigo

An 8-month-old has been diagnosed with infantile eczema. At a follow-up appointment, the child's caregiver seems exhausted and angry. He explains that he has done all of the child's care because his wife is repulsed by the child's raw and uncomfortable appearance. Which of the following responses would be appropriate for the nurse to say to this caregiver? a) "That's not fair to you; she should get some counseling to learn how to cope with illness better." b) "That's not an uncommon reaction, although it's hard on you and on your child." c) "He will be better soon and your family can get back to normal." d) "I understand her feelings. It is hard to see a child in pain sometimes."

The nurse is presenting an in-service to a group of nurses who will be working in a dermatology clinic. One participant asks the nurse about a bacterial skin infection that she has seen in children. Which of the following disorders is the nurse most likely referring to? a) Candidiasis b) Seborrheic dermatitis c) Impetigo d) Miliaria rubra

The nurse caring for a child with a skin allergy recognizes that the highest priority in the treatment for skin allergies is aimed at doing which of the following? a) Regulating skin and body temperature b) Managing pain and discomfort c) Controlling nausea and vomiting d) Reducing swelling and relieving itching

The nurse is discussing the use of over-the-counter ointments to manage a mild case of diaper rash. What ingredients should the nurse instruct the parents to look for in a compound? Select all that apply. a) Vitamin D b) Vitamin A c) Vitamin B12 d) Vitamin B6 e) Zinc

The nursing diagnosis of risk for infection related to a disruption in the protective skin barrier is noted on a child's plan of care. Which action would be of greatest importance? a) Assessing temperature every 4 hours b) Obtaining a culture of the impaired skin area c) Using appropriate hand hygiene d) Urging adequate nutritional intake

The nurse is developing the plan of care for a 3-year-old child diagnosed with atopic dermatitis. When reviewing the desired patient outcomes which of the following are common focuses for a child with this diagnosis? Select all that apply. a) Maintenance of skin integrity b) Prevention of infection c) Promotion of skin hydration d) Pain management e) Reduction in anxiety

The nurse is providing education to the parents of a teenaged boy diagnosed with impetigo. Which of the following statements by the boy indicates the need for further education? a) "This condition is contagious." b) "I will need to cover my son's skin lesions with bandages until it has healed." c) "It is important to remove the crusts before applying any topical medications." d) "My son can continue to attend school while he is taking the prescribed antibiotics."

A nurse is caring for a child with tinea pedis. Which of the following assessment findings would the nurse expect to note? a) Inflamed boggy mass filled with pustules b) Erythema, scaling, maceration in the inguinal creases and inner thighs c) Patches of scaling in the scalp with central hair loss d) Red scaling rash on soles and between the toes

The nurse is presenting an in-service to a group of nurses who will be working in a dermatology clinic. One participant asks the nurse about a bacterial skin infection that she has seen in children. Which of the following disorders is the nurse most likely referring to? a) Impetigo b) Miliaria rubra c) Seborrheic dermatitis d) Candidiasis

The nurse is caring for an infant who has impetigo and is hospitalized. Which of the following nursing interventions is the highest priority for this child? a) The nurse applies elbow restraints to the infant. b) The nurse applies topical antibiotics to the lesions. c) The nurse follows contact precautions. d) The nurse soaks the skin with warm water.

A nurse providing teaching on ways to promote skin hydration for the parents of an infant with atopic dermatitis. Which of the following responses indicates a need for further teaching? a) "We need to avoid any skin product containing perfumes, dyes, or fragrances." b) "We should use soap to clean only dirty areas." c) "We should use a mild soap for sensitive skin." d) "We should bathe our child in hot water, twice a day."

In working with infants diagnosed with atopic dermatitis, the nurse anticipates that when these children are older they will likely have a tendency to have which of the following disorders? a) Asthma b) Rheumatoid arthritis c) Hemophilia d) Otitis media

The nurse is providing teaching on ways to maintaining skin integrity and preventing infection for the parents of a boy with atopic dermatitis. Which of the following responses indicates a need for further teaching? a) "We should avoid using petroleum jelly." b) "We should avoid tight clothing and heat." c) "We need to develop ways to prevent him from scratching." d) "We should keep his fingernails short and clean."

The nurse is presenting an in-service to a group of nursing students discussing atopic dermatitis. The following statements were made by the students. Which statement is most accurate related to atopic dermatitis? a) "When children are diagnosed, if they aren't up to date with all of their immunizations they need to get them right away." b) "My sister never gives her 6-month-old eggs because her other kids have all had this disorder." c) "Children with this disorder sleep a lot; sometimes you even have to wake them to feed them." d) "This disorder is usually first recognized by red skin on the child's back."

A nurse assessing a 6-month-old girl with an integumentary disorder. The nurse notes three virtually identically sized, round red circles with scaling that are symmetrically spaced on both of the girl's inner thighs. What should the nurse ask the mother? a) "Does she wear sleepers with metal snaps?" b) "Do you change her diapers regularly?" c) "Tell me about your family history of allergies." d) "Has she been exposed to poison ivy?"

A topical corticosteroid is prescribed for a child with contact dermatitis. Which statement by the mother would indicate the teaching was successful? a) "I should use the highest-potency steroid cream I can find." b) "I should not cover the area with plastic wrap after applying the cream." c) "I should apply the medicine at bedtime and rinse it off in the morning." d) "I need to shake the preparation before using it."

A group of nursing students are reviewing information about atopic dermatitis. Which of the following indicate that the students understand the information? Select all that apply. a) The reaction occurs in response to specific allergens. b) Scratching initiates the reaction, which then becomes pruritic. c) Changes in temperature can contribute to flare-ups. d) Excessively humid environments often lessen the severity of the reaction. e) The disorder is chronic with periods of remissions.

Which of the following is the best technique to perform an assessment of the skin? a) Skin assessment involves inspection and palpation in a room with yellow walls and bright white light. b) Skin assessment involves inspection and palpation using latex gloves. c) Skin assessment involves inspection and palpation in a room with white walls and bright fluorescent light. d) Skin assessment involves inspection and palpation using vinyl gloves.

When doing teaching with a group of caregivers of infants the nurse is discussing the topic of diaper rash. The caregivers in the group make the following statements. Which statement is the most accurate related to the child with diaper rash. a) "They told me to use baby powder every time I change her so she won't get diaper rash." b) "My child gets diaper rash if I wash her clothes in the same detergent we use for the family." c) "Sometimes if I leave the diaper off and let him be in the sunshine he gets diaper rash." d) "The formula she drinks sometimes causes her to have a diaper rash."

The nurse is caring for a 1-year-old patient in a pediatric clinic. The patient was brought to the clinic with symptoms of dry, itchy red patches of skin on the arms and legs. A diagnosis of atopic dermatitis (eczema) is made. Which of the following is a key element in the treatment regimen for this diagnosis? a) Frequently rehydrating the skin b) Applying topical antibiotics routinely c) Teaching the child not to scratch the "itchy" skin d) Daily oral cortisone

The nurse is caring for a 15-year-old boy with psoriasis. In addition to the plaques, which of the following would the nurse expect to note? a) Lichenification b) Fissures and scaling on palms and soles c) Hyperpigmentation d) Fever and malaise

The nurse is providing home care instructions for the parents of an infant with cradle cap. Which response by the parents indicates a need for further teaching? a) "We can safely use a selenium sulfide shampoo on his hair." b) "We should wash or shampoo the scalp areas with mild soap." c) "We can scrape off the crusts on his scalp with a cotton swab." d) "We can massage his head with mineral oil first and then shampoo it."

The nurse is collecting data on a child with a diagnosis of atopic dermatitis. While interviewing the caregiver, the nurse will direct questions to the caregiver recognizing that which of the following are common allergens involved in eczema? Select all that apply. a) Eggs b) Animal dander c) Cotton d) Oatmeal e) Nylon f) Cow's milk