A nurse is providing teaching to the parent of a child who has impetigo.
Which of the following instructions should the nurse include in the teaching?
swer and explanation
Soak hairbrushes in boiling water for 10 min
Administer acyclovir PO two times per day
Apply bactericidal ointment to lesions
The Correct Answer is D
Choice A rationale
Sealing soft toys in a plastic bag for 14 days is a measure used to control the spread of lice, not impetigo.
Choice B rationale
Soaking hairbrushes in boiling water for 10 minutes is a measure used to disinfect items that may be
contaminated with fungal spores, not bacteria causing impetigo.
Choice C rationale
Acyclovir is an antiviral medication used to treat herpes simplex virus infections, not bacterial infections like impetigo.
Choice D rationale
Applying a bactericidal ointment to lesions is a common treatment for impetigo, which is a bacterial skin infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A weak pedal pulse distal to the site of a cardiac catheterization procedure could indicate a vascular complication, such as a hematoma or thrombosis, and should be reported to the provider immediately.
Choice B rationale
A blood pressure of 102/58 mm Hg is within the normal range for a toddler and does not need to be reported to the provider.
Choice C rationale
Bilateral cool extremities can be a normal finding in a child who is recovering from anesthesia. However, if coolness is accompanied by other signs of poor perfusion, such as pallor or delayed capillary refill, it should be reported to the provider.
Choice D rationale
A serum glucose level of 90 mg/dL is within the normal range for a toddler and does not need to be reported to the provider.
Correct Answer is B
Explanation
Choice A rationale
Osteomyelitis is an infection of the bone, typically caused by bacteria. While it can occur as a complication of a fracture, it is not the most immediate concern within the first 24 hours after injury.
Choice B rationale
Compartment syndrome is a serious condition that involves increased pressure in a muscle compartment. It can lead to muscle and nerve damage and problems with blood flow. It can develop within hours of a severe injury like a fracture. Therefore, it is crucial to monitor for signs of compartment syndrome, such as severe pain, paleness, numbness, or decreased strength, in the first 24 hours after a fracture.
Choice C rationale
Volkmann ischemic contracture is a condition that can occur if there is prolonged or severe muscle ischemia (lack of blood flow) following a fracture. However, this condition is not typically seen within the first 24 hours after injury.
Choice D rationale
Renal calculi, or kidney stones, are hard deposits made of minerals and salts that form inside your kidneys. They are not a complication that would arise within the first 24 hours after a fracture.
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