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
A. Impetigo is a highly contagious superficial bacterial skin infection commonly caused by Staphylococcus aureus or Streptococcus pyogenes. Treatment includes topical antibiotic (bactericidal) ointments such as mupirocin, keeping lesions clean and covered, and good hand hygiene to prevent spread. Applying a bactericidal ointment directly treats the bacterial infection and promotes healing.
B. Soaking hairbrushes in boiling water for 10 minutes is more appropriate for infestations like lice. Impetigo is spread by direct contact with lesions or contaminated items, but routine washing with soap and water is sufficient. Boiling hairbrushes is unnecessary.
C. Acyclovir is an antiviral medication used for infections such as herpes simplex or varicella. Impetigo is bacterial, not viral, so antiviral therapy is inappropriate.
D. Sealing soft toys in a plastic bag for 14 days is used for lice management. Impetigo does not require sealing toys for extended periods. Normal laundering of contaminated items is sufficient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should first implement droplet precautions for the child.

Bacterial meningitis can be spread through respiratory and throat secretions, so it is important to take precautions to prevent the spread of infection.
Choice A is wrong because while a lumbar puncture may be necessary for diagnosis, preventing the spread of infection is a higher priority.
Choice C is wrong because while dimming the lights may provide comfort, preventing the spread of infection is a higher priority.
Choice D is wrong because while administering an antipyretic may provide comfort, preventing the spread of infection is a higher priority.
Correct Answer is A
Explanation
Overheating is a risk factor for SIDS, so it’s important to dress the baby in lightweight clothing to sleep.
Choice B is wrong because infants should always be placed on their back to sleep, not on their side.
Choice C is wrong because bed-sharing increases the risk of SIDS.
Choice D is wrong because stuffed animals should not be placed in the crib with the baby as they can increase the risk of suffocation 2.
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