A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?
Apply bactericidal ointment to lesions.
Soak hairbrushes in boiling water for 10 minutes.
Administer acyclovir PO two times per day.
Seal soft toys in a plastic bag for 14 days.
The Correct Answer is A
Impetigo is treated with antibiotics, either topical antibiotics (medicine rubbed onto the sores) or oral antibiotics (medicine taken by mouth). A doctor might recommend a topical ointment for only a few sores.
Choice B is wrong because Soak hairbrushes in boiling water for 10 minutes, is not a recommended instruction for the treatment of impetigo.
Choice C is wrong because Administer acyclovir PO two times per day, is not a recommended instruction for the treatment of impetigo as acyclovir is an antiviral medication and impetigo is caused by bacteria.
Choice D is wrong because Seal soft toys in a plastic bag for 14 days, is not a recommended instruction for the treatment of impetigo.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This is because oxygen saturation below 90% indicates that the infant is not getting enough oxygen and central cyanosis (bluish color of the skin due to lack of oxygen) is a sign of severe respiratory distress.
Both of these findings require immediate medical attention.
Choice A is wrong because cough or difficulty in breathing, while concerning, may not require immediate reporting to the provider as they are common symptoms of RSV infection.
Choice C is wrong because severe respiratory distress (e.g grunting, very severe chest indrawing), while concerning, may not require immediate reporting to the provider as they are common symptoms of RSV infection.
Choice D is wrong because signs of pneumonia with a general danger, while concerning, may not require immediate reporting to the provider as they are common symptoms of RSV infection.
Correct Answer is A
Explanation
When a child ingests a toxic dose of acetylsalicylic acid, it can lead to salicylate toxicity, which can cause hyperpyrexia (high fever), among other symptoms such as vomiting, tinnitus, confusion, and dehydration. Hyperpyrexia is a serious complication that can lead to neurological damage and is a medical emergency that requires prompt intervention.
The nurse should monitor the child's temperature and administer antipyretic medications as necessary to reduce the fever.
Choice B is wrong because Polyuria, is not a common symptom of acute acetylsalicylic acid poisoning.
Salicylate toxicity can cause dehydration due to vomiting, which can lead to decreased urine output.
Choice C is wrong because Neck vein distention, is not typically associated with acetylsalicylic acid poisoning.
Neck vein distention is commonly seen in patients with heart failure, tension pneumothorax, or cardiac tamponade.
Choice D is wrong because Jaundice, is not a common symptom of acetylsalicylic acid poisoning. Jaundice is usually seen in liver diseases or hemolytic anemias.
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