A nurse is caring for a 10-year-old client in a pediatric clinic.

Exhibits
For each potential provider's prescription, click to specify if the assessment findings are consistent with Eczema or Cellulitis. Each finding may support more than 1 disease process.

Today's lesions

Discomfort level

History and physical

Body temperature

Appearance of skin

Answer and Explanation

The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A,B"},"D":{"answers":"A"},"E":{"answers":"B"}}

Eczema (Atopic Dermatitis)

Discomfort level: Pain 3/10 (more likely due to itching than infection)
History of mosquito bites and prolonged scratching
No fever (Temperature 37°C/98.6°F)
Multiple scabs and lesions from scratching

Cellulitis

Redness, warmth, and swelling on the left lower leg
History of skin breakdown (scratching increases infection risk)
Lesions present (Possible infection due to prolonged scratching)

Rationale:

Eczema (Atopic Dermatitis):

Eczema is a chronic inflammatory skin condition that causes itching, dryness, and irritation, often triggered by allergens or skin trauma. The child’s history of mosquito bites and excessive scratching aligns with eczema, as scratching worsens skin irritation and can lead to scabbed lesions. The absence of fever and a mild pain level (3/10) suggest this is primarily an inflammatory response rather than an infection.

Cellulitis:

Cellulitis is a bacterial skin infection that develops when bacteria enter through a break in the skin, often causing redness, warmth, swelling, and pain. The redness, warmth, and swelling on the left lower leg indicate possible early cellulitis, likely caused by bacteria introduced through scratching. However, the absence of fever and only mild pain suggest it may not be a severe infection yet.

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Free Nursing Study Resources

Correct Answer is ["120"]

Explanation

Calculate the total drops per hour:

Formula:

Total drops/hour = Volume (mL/hr) x Drop factor (gtt/mL)

=120 mL/hr x 60 gtt/mL

= 7200 gtt/hr

Calculate the drops per minute:

Formula:

Drops per minute (gtt/min) = Total drops/hour / 60 minutes/hour

=7200 gtt/hr / 60 min/hr

= 120 gtt/min

The nurse should set the IV flow rate to deliver 120 gtt/min.

A. "Lack of supervision is a big risk factor for burns children." B. “Microwaved food should sit for 30 seconds before giving to the child." C. "Young children should be kept indoors at all times to prevent sunburns," D. "The water heater should be set at 130 degrees Fahrenheit or less."

Correct Answer is A

Explanation

A. "Lack of supervision is a big risk factor for burns in children." This is correct. Young children are naturally curious and have limited awareness of danger, making them more prone to thermal injuries. Inadequate supervision increases the risk of burns from hot liquids, open flames, electrical sources, and heated objects.

B. "Microwaved food should sit for 30 seconds before giving to the child." While allowing food to cool is helpful, 30 seconds may not be enough time to reduce the risk of burns. Additionally, caregivers should stir microwaved food thoroughly to distribute heat evenly and test the temperature before feeding the child.

C. "Young children should be kept indoors at all times to prevent sunburns." This is unrealistic and unnecessary. Instead, caregivers should use protective measures such as sunscreen, hats, protective clothing, and shade to prevent sunburn while allowing outdoor activities.

D. "The water heater should be set at 130 degrees Fahrenheit or less." This is incorrect. The recommended maximum water heater temperature is 120°F (49°C) to prevent scald burns. Water at 130°F can cause serious burns within seconds, making it too high for safety.

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A nurse is caring for a 10-year-old client in a pediatric clinic. Exhibits For each potential provider's prescription, click to specify if the assessment findings are consistent with Eczema or Cellulitis. Each finding may support more than 1 disease process.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer lactated Ringer's solution IV to infuse at 120 mL/hr for a client who has a respiratory disorder. The drop factor on the manual IV tubing is 60 gtt/ml. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)

Correct Answer is ["120"]

Explanation

A nurse is reinforcing education to a caregiver of a pediatric client about disease prevention related to thermal injuries. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

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A nurse is caring for a 10-year-old client in a pediatric clinic. Exhibits For each potential provider's prescription, click to specify if the assessment findings are consistent with Eczema or Cellulitis. Each finding may support more than 1 disease process.

The nurse caring for a toddler who is diagnosed with congenital hypothyroidism. Which of the following developmental delays should the nurse recognize as the priority concern if the condition is left untreated?

A nurse is caring for a 10-year-old client in a pediatric clinic.

Exhibits
For each potential provider's prescription, click to specify if the assessment findings are consistent with Eczema or Cellulitis. Each finding may support more than 1 disease process.