The nurse is examining a 12-month-old who was brought to the clinic for persistent, painful diaper rash after being treated for otitis media with antibiotics. The nurse finds red perianal inflammation with satellite lesions. This is most likely caused by:
Varicella
Candida albicans
Impetigo
Bacterial infection
The Correct Answer is B
Choice A reason: This is not the correct cause, as varicella is a viral infection that causes a blister-like rash all over the body, not just in the diaper area. Varicella also causes fever, headache, and malaise.
Choice B reason: This is the correct cause, as Candida albicans is a type of fungus that can cause diaper rash, especially after antibiotic use. Antibiotics can disrupt the normal flora of the skin and allow the fungus to grow. Candida albicans causes red, inflamed skin with small, raised bumps around the edges.
Choice C reason: This is not the correct cause, as impetigo is a bacterial infection that causes honey-colored crusts on the skin, usually around the mouth and nose. Impetigo is contagious and can spread to other parts of the body or other people.
Choice D reason: This is not the correct cause, as bacterial infection is too vague and nonspecific. Bacterial infection can cause different types of skin rashes, depending on the type and location of the bacteria. Bacterial infection may also cause other symptoms, such as fever, pus, or swelling.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is not a correct recommendation, as oil may not be effective in killing lice or nits. Oil may also make the hair greasy and difficult to comb.
Choice B reason: This is not a necessary recommendation, as throwing away all stuffed animals may be wasteful and upsetting for the child. Stuffed animals can be treated by sealing them in plastic bags for two weeks or by putting them in a dryer on high heat for 20 minutes¹.
Choice C reason: This is a good recommendation, as thorough cleaning of brushes, hats, and linens can help prevent the spread of lice to other people or items. However, staying home until there are no more nits is not required, as nits are not contagious and do not pose a health risk².
Choice D reason: This is the best recommendation, as applying a pediculicide and thoroughly combing the nits out of the hair can effectively treat lice infestation. Pediculicides are medicated shampoos or lotions that kill lice and some nits. Combing the nits out of the hair can remove any remaining eggs and prevent reinfestation¹².
Correct Answer is D
Explanation
Choice A reason: This statement does not best illustrate the developmental stage of an eighteen-year-old. Getting an A in a math exam is an academic achievement, but it does not reflect the psychosocial development of the individual.
Choice B reason: This statement does not best illustrate the developmental stage of an eighteen-year-old. Going to a senior prom is a social event, but it does not indicate the identity or role of the individual.
Choice C reason: This statement does not best illustrate the developmental stage of an eighteen-year-old. Having conflicts with parents is a common issue among adolescents, but it does not show the maturity or independence of the individual.
Choice D reason: This statement best illustrates the developmental stage of an eighteen-year-old. Going to college to become a nurse is a decision that reflects the individual's identity, career, and future goals. It also shows the individual's ability to plan ahead, make choices, and take responsibility for their life.
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