A child comes to the clinic for evaluation of skin lesions and is diagnosed with impetigo. Which of the following medications would the nurse anticipate the physician might prescribe?
Tetracyline
Penicillin
Metronidazole
Lindane
The Correct Answer is B
A. Tetracycline:
Tetracycline antibiotics, such as doxycycline or minocycline, can be effective against the bacteria that cause impetigo. However, their use in children, especially younger ones, might be limited due to concerns about potential effects on developing teeth and bones. Therefore, they are not the first-line choice for pediatric impetigo.
B. Penicillin:
Penicillin or other antibiotics in the penicillin family, such as dicloxacillin or amoxicillin, are commonly used to treat impetigo caused by Streptococcus pyogenes. Penicillin-based antibiotics are effective against certain strains of the bacteria responsible for impetigo. They are often a preferred choice for pediatric impetigo.
C. Metronidazole:
Metronidazole is an antibiotic with activity against anaerobic bacteria and certain parasites. However, it is not typically used to treat impetigo caused by Staphylococcus aureus or Streptococcus pyogenes.
D. Lindane:
Lindane is an anti-parasitic medication used for conditions like scabies or lice. It is not effective against the bacteria that cause impetigo. Lindane is not an appropriate treatment for impetigo, and its use is limited due to potential neurotoxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Preventing spread of infection:
This is a priority because individuals with acquired immunodeficiency syndrome (AIDS) have a compromised immune system. Preventing the spread of infections is crucial to avoid additional complications and safeguard the individual's health.
B. Maintaining skin integrity:
Skin integrity is important for overall health, but in the context of AIDS, preventing infections and promoting immune function take precedence over maintaining skin integrity. Skin issues might be secondary to the immune system's compromised state.
C. Improving nutrition:
Good nutrition is important for overall health, including supporting the immune system. However, preventing the spread of infection is more immediate and critical in the case of someone with AIDS. Addressing nutritional needs can be part of the overall care plan but might be secondary to preventing infections.
D. Promoting comfort:
While promoting comfort is essential in nursing care, the priority in the case of a child with AIDS would be preventing the spread of infection due to the immunocompromised state. Comfort measures may be incorporated into the care plan, but they would not take precedence over preventing further health complications.
Correct Answer is D
Explanation
A. Painting pictures in the art corner of the room:
Painting pictures in the art corner can be a fun and creative activity for preschoolers. It allows them to express themselves through art and develop fine motor skills. However, it might not be a group activity unless they are sharing materials and ideas.
B. Watching a movie with other children their age:
Watching a movie can be an enjoyable activity for preschoolers, especially if the content is age-appropriate. However, it is a passive activity, and group interactions might be limited during the movie.
C. Playing a board game:
Playing a board game can be a good group activity that involves turn-taking, following rules, and social interaction. However, some board games may be more suitable for older children who have developed certain cognitive and social skills.
D. Pretending to be mommies and daddies in the playhouse:
Pretend play, such as pretending to be mommies and daddies in a playhouse, is a developmentally appropriate and common activity for preschoolers. It encourages imaginative play, role-playing, and social interaction, helping with emotional and social development.
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