A nurse is caring for a child with a cellulitis of the hand. Which of the following actions should the nurse take?
Cleansing area using Burow's solution.
Prepare for crypotherapy.
Apply a topical antifungal medication.
Administer oral antibiotics.
The Correct Answer is D
A. Burow’s solution is an astringent used for conditions such as weeping eczema or mild skin irritations, but it does not treat bacterial infections like cellulitis. It may provide soothing, but it is not an effective therapeutic intervention for cellulitis.
B. Cryotherapy involves freezing tissue and is used for lesions such as warts or certain skin growths, not for bacterial infections like cellulitis. It has no role in treating acute bacterial infections.
C. Topical antifungals are used for fungal infections such as tinea infections, not for bacterial cellulitis. Cellulitis requires systemic treatment targeting bacteria.
D. Cellulitis is a bacterial infection of the skin and subcutaneous tissue, commonly caused by Staphylococcus aureus or Streptococcus species. The first-line treatment is typically oral antibiotics for mild to moderate infections. Severe cases may require IV antibiotics. Administering antibiotics addresses the underlying infection, reduces inflammation, and prevents the spread of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Warts on the hands, caused by human papillomavirus (HPV), are generally benign and do not require a biopsy unless the lesion is atypical, rapidly growing, or has an unusual appearance. Routine biopsy is not indicated for common hand warts.
B. Warts are highly contagious, spreading through direct contact with the wart or contaminated surfaces. This statement is inaccurate and could lead to poor preventive measures.
C. Antibiotics are ineffective against viral infections. Warts are caused by HPV, a virus, so treatment usually involves topical agents, cryotherapy, or other procedures to remove or reduce the warts.
D. Common warts on the hands are generally painless, though they may cause discomfort if located on pressure points or if irritated. Education should include reassurance about the benign nature and typical lack of pain, as well as information on treatment options and contagiousness.
Correct Answer is C
Explanation
A. Seborrheic dermatitis primarily affects areas rich in sebaceous glands, such as the scalp, face, and upper trunk. Lesions are usually greasy, yellowish scales rather than pruritic, fluid-filled vesicles localized to the lower leg.
B. Folliculitis is an infection of the hair follicles, presenting as small, red pustules or papules centered on hair follicles. It does not typically produce widespread fluid-filled vesicles and intense pruritus like contact dermatitis.
C. Contact dermatitis is an inflammatory skin reaction caused by direct contact with an irritant or allergen. Typical findings include pruritus, erythema, and fluid-filled vesicles. The lower leg is a common site if the area came into contact with an irritant, such as plants, chemicals, or topical products. This pattern of localized vesicular rash and itching is characteristic of contact dermatitis.
D. Cellulitis is a bacterial infection of the dermis and subcutaneous tissue, presenting as diffuse, red, warm, swollen, and tender areas, often with systemic symptoms such as fever. Vesicles are not a typical feature, and pruritus is generally mild or absent.
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