A school nurse is assessing a child who has honey-colored crusted lesions around their mouth and on their arms. The nurse should recognize this as a characteristic of which of the following skis infections?

Impetigo

Scabies

Herpes simplex virus

Tinea corporis

Answer and Explanation

The Correct Answer is A

A. Impetigo. Impetigo is a highly contagious bacterial skin infection, often caused by Staphylococcus aureus or Streptococcus pyogenes. It is characterized by honey-colored crusted lesions, especially around the mouth and extremities.

B. Scabies. Scabies presents as intensely itchy burrows or papules, often in the web spaces of the fingers, wrists, and axillae, rather than honey-colored crusts.

C. Herpes simplex virus. Herpes simplex virus (HSV) typically causes grouped vesicular lesions on an erythematous base, not crusted honey-colored lesions.

D. Tinea corporis. Tinea corporis (ringworm) presents as red, scaly, annular lesions with central clearing, not honey-colored crusts.

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Correct Answer is D

Explanation

A. Medicate the client for pain: Pain management is essential after surgery; however, it is not the most critical action. Unrelieved pain could indicate a complication, such as compartment syndrome, which requires further assessment.

B. Direct the client to perform exercises of the ankle and toes: Performing ankle and toe exercises helps prevent complications such as venous thromboembolism (VTE) and promotes circulation, but it is not the priority over assessing for complications.

C. Instruct the client on the use of crutches: Teaching the client how to use crutches is important for mobility, but this is not the most immediate postoperative concern.

D. Perform neurovascular checks of the extremities: This is the most important intervention because neurovascular compromise (e.g., compartment syndrome) can occur after orthopedic surgery. Checking circulation, movement, and sensation (CMS) is critical for early detection of complications.

A. Hematocrit 40% B. Potassium 3.8 mEq/L C. Creatinine 0.9 mg/dl. D. WBC count 20,000/mm3

Correct Answer is D

Explanation

A. Hematocrit 40%: A hematocrit level of 40% is within the normal range for adult females (36%-48%) and does not require intervention.

B. Potassium 3.8 mEq/L: Normal potassium levels range from 3.5-5.0 mEq/L, so a value of 3.8 mEq/L is within normal limits and does not pose a risk for surgery.

C. Creatinine 0.9 mg/dL: Normal creatinine levels for adult females are 0.5-1.1 mg/dL. A level of 0.9 mg/dL indicates normal kidney function and does not require reporting.

D. WBC count 20,000/mm³: A WBC count of 20,000/mm³ is significantly elevated, indicating a possible infection or inflammatory response. This increases the risk of post-operative complications and should be reported to the surgeon immediately.

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A school nurse is assessing a child who has honey-colored crusted lesions around their mouth and on their arms. The nurse should recognize this as a characteristic of which of the following skis infections?

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