A child has small red macules and vesicles that become pustules around the child's mouth and cheek. Older lesions are crusted and honey-colored. What should the nurse teach the parents about this condition?
Notify the physician for any itching.
Keep the child home from school for 24 hours after starting antibiotics.
Keep the child home from school until the lesions are healed.
Clean the rash vigorously with Betadine three times a day.
The Correct Answer is B
A. Notifying the physician for itching is not necessary unless signs of secondary infection or worsening symptoms occur.
B. The child likely has impetigo, a highly contagious bacterial skin infection. Children can return to school 24 hours after starting antibiotic therapy, as the risk of transmission decreases significantly after this period.
C. Keeping the child home until lesions are fully healed is unnecessary and can prolong absence from school. Antibiotic treatment effectively reduces contagion before complete healing.
D. Vigorous cleaning with Betadine is not recommended, as harsh scrubbing can irritate the skin and worsen the lesions. Gentle cleansing and application of prescribed topical or systemic antibiotics are preferred.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Assessing the client’s temperature is important to monitor for infection, but it is not the immediate priority.
B. Assessing the fetal heart rate (FHR) pattern is the priority because an amniotomy can trigger cord compression or prolapse, which may compromise fetal oxygenation. Early identification of changes in FHR allows prompt intervention to prevent fetal hypoxia or distress.
C. Observing the color and consistency of the amniotic fluid is important for identifying meconium-stained fluid or infection, but fetal well-being takes precedence.
D. Evaluating for signs of infection such as chills or uterine tenderness is important, but these typically develop hours later; immediate FHR monitoring addresses the most urgent risk.
Correct Answer is D
Explanation
A. While reviewing hygiene practices is important, it does not confirm the cause of the nighttime anal itching, which could be due to pinworm infection.
B. Limiting clothing is not an effective diagnostic or treatment measure for suspected pinworm infection.
C. A stool sample is not reliable for diagnosing pinworms, as eggs are laid around the anus at night, not in stool.
D. The cellophane tape test is the preferred diagnostic method for Enterobius vermicularis (pinworm). It involves placing clear tape on the perianal area in the morning to collect eggs for microscopic examination, allowing accurate diagnosis and appropriate treatment.
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