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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Correct Answer is D

Explanation

A. Children with immune thrombocytopenia should not partake in physical activity. While children with severe thrombocytopenia should avoid high-impact or contact sports, complete restriction from physical activity is unnecessary. Low-risk activities can be encouraged to support overall health.

B. Children with immune thrombocytopenia have a lower risk of bleeding. This is incorrect. Thrombocytopenia is characterized by low platelet levels, which increase the risk of bleeding and bruising, making injury prevention crucial.

C. Thrombocytopenia is a chronic disease in children. Immune thrombocytopenia (ITP) can be acute or chronic, but in most children, it is a self-limiting condition that resolves within months. Chronic ITP is less common but does occur in some cases.

D. Children with a history of thrombocytopenia have a higher incidence of bleeding. This is correct. Low platelet counts impair blood clotting, increasing the risk of spontaneous bruising, nosebleeds, and prolonged bleeding from minor injuries. Parents should monitor for signs of bleeding and avoid medications like aspirin or NSAIDs that can worsen bleeding risk.

A. "My family should use separate serving utensils for gluten-free foods." B. "I can still enjoy oatmeal for breakfast.” C. “I need to avoid foods like bread, pasta, and cereal." D. "I need to check food labels for hidden sources of gluten, like barley and rye."

Correct Answer is B

Explanation

A. "My family should use separate serving utensils for gluten-free foods." Cross-contamination is a serious concern for individuals with celiac disease. Using separate utensils and cookware helps prevent exposure to gluten and reduces the risk of intestinal damage.

B. "I can still enjoy oatmeal for breakfast." Regular oats are often contaminated with gluten due to cross-contact with wheat, barley, or rye during processing. Only certified gluten-free oats are considered safe for individuals with celiac disease, but even then, some people may still react due to the protein avenin found in oats.

C. "I need to avoid foods like bread, pasta, and cereal." Many traditional bread, pasta, and cereals contain wheat, barley, or rye, which must be strictly avoided in a gluten-free diet.

D. "I need to check food labels for hidden sources of gluten, like barley and rye." Gluten can be found in processed foods, sauces, seasonings, and even medications. Reading labels carefully is essential for managing celiac disease.

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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 caring for a child who has a new diagnosis of immune thrombocytopenia. Which of the following information regarding implications of the diagnosis should the nurse reinforce in the discharge instructions?

Correct Answer is D

Explanation

A nurse is providing education to a 12-year-old child who has been newly diagnosed with celiac disease. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is B

Explanation

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A nurse is assisting in the care of an infant in a pediatric clinic Exhibits For each potential finding, click to specify if the finding is common with the diagnosis. There must be at least 1 selection in every row. There does not need to be a selection in every column.

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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.