A toddler is diagnosed with streptococcal based impetigo.
After teaching the parents about this condition and its treatment, the nurse determines that the teaching was successful based on which statement?
"The steroids should treat the sores pretty well.”.
"We need to make sure we finish up the entire antibiotic prescription.”.
"We should change the dressing on the sores every day.”.
"We need to stop our child from sucking their thumb.”.
The Correct Answer is B
Choice A rationale
Impetigo is a bacterial skin infection caused by Staphylococcus aureus or Streptococcus pyogenes. Steroids have immunosuppressive properties and can exacerbate bacterial infections by hindering the body’s ability to fight off the pathogens. Therefore, steroid creams are contraindicated and would not effectively treat the sores, as they would likely worsen the condition and delay healing.
Choice B rationale
The statement indicates an understanding of the importance of completing the full course of antibiotics to eradicate all of the bacteria. Discontinuing the medication prematurely can lead to antibiotic resistance and a recurrence of the infection, as some of the bacteria may survive and proliferate. Finishing the entire prescription ensures complete elimination of the pathogens.
Choice C rationale
Impetigo sores should not be covered with a tight dressing, as this can trap moisture and heat, creating an ideal environment for bacterial growth and proliferation. While the sores should be kept clean and dry, covering them daily with an occlusive dressing is generally not recommended. This can worsen the infection and hinder the drying and healing process.
Choice D rationale
Impetigo is highly contagious, but it is primarily spread through direct contact with the sores. While thumb sucking could potentially transfer bacteria from the hands to the face, it is not the primary route of transmission or a specific treatment concern. The focus should be on proper hand hygiene and avoiding scratching or picking at the lesions, which is the main way the infection spreads.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Insomnia is a common symptom of postpartum depression, often characterized by difficulty falling or staying asleep, or waking up early. This sleep disturbance, when coupled with other symptoms such as persistent sadness, loss of interest in activities, and fatigue, is a key diagnostic criterion for the condition.
Choice B rationale
Intermittent crying in the first week postpartum, now resolved, is a common symptom of the "baby blues.”. The baby blues are a transient condition, typically resolving within the first two weeks. Postpartum depression, in contrast, involves more severe and persistent symptoms lasting longer than two weeks.
Choice C rationale
Delusions are a symptom of postpartum psychosis, a rare and severe mental health condition that is distinct from postpartum depression. Postpartum psychosis involves a break from reality and is a psychiatric emergency. Delusions are not characteristic of postpartum depression.
Choice D rationale
Induced vomiting is a symptom associated with eating disorders, such as bulimia nervosa. While eating disorders can coexist with postpartum depression, induced vomiting is not a defining symptom of postpartum depression itself. It is a separate clinical finding.
Correct Answer is D
Explanation
Choice A rationale
Rapid breathing games would worsen the child's condition. Rapid breathing, or hyperventilation, can lead to respiratory alkalosis, which is an imbalance in the body's acid-base balance. It can also cause dehydration and further irritate the respiratory tract, increasing the child's discomfort and potentially exacerbating the symptoms of the upper respiratory infection.
Choice B rationale
Enforcing strict bed rest is generally not necessary and can sometimes be detrimental. While rest is important, complete immobility can increase the risk of complications such as pneumonia due to a lack of lung expansion. Moderate activity is often encouraged to prevent pooling of secretions and to maintain normal respiratory function.
Choice C rationale
Limiting fluid intake is contraindicated. Adequate hydration is crucial for a child with an upper respiratory infection. Fluids help to thin respiratory secretions, making them easier to clear from the airways, and prevent dehydration, which can be a significant risk, especially if the child has a fever.
Choice D rationale
Increasing room humidity is a beneficial measure. Humidified air helps to soothe inflamed respiratory passages and moisten secretions, making them less viscous and easier for the child to cough up. This can significantly reduce nasal congestion, cough, and throat irritation, improving the child's ability to breathe comfortably.
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