What is the most likely cause of a 12-month-old's persistent diaper rash, characterized by perianal inflammation with bright red scaly plaques, small papules, and satellite lesions?

Infrequent diaper changes

Impetigo (staph)

Candida albicans (yeast)

Urine and feces

Answer and Explanation

The Correct Answer is C

Choice A reason: Infrequent diaper changes can contribute to diaper rash, but the presence of satellite lesions suggests a yeast infection rather than a simple irritant rash.

Choice B reason: Impetigo, caused by staphylococcal or streptococcal bacteria, typically presents with honey-colored crusts and is not usually associated with satellite lesions.

Choice C reason: The description of bright red scaly plaques and satellite lesions is characteristic of a yeast infection, specifically caused by Candida albicans.

Choice D reason: While urine and feces can irritate the skin and cause diaper rash, the specific clinical findings mentioned point more towards a yeast infection.

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Correct Answer is ["A","C","D"]

Explanation

Choice A reason: This statement is not typically accurate; anti-seizure medications are not usually required for children who have had febrile seizures.
Choice B reason: There is no strong evidence that febrile seizures increase the risk for developmental delays.
Choice C reason: This is one of the correct choices. Antipyretics can help manage fever and may reduce the likelihood of a febrile seizure.
Choice D reason: This is one of the correct choices. Most children who experience febrile seizures do not have long-term effects or develop epilepsy.

A. Measure the child's temperature and postpone the immunizations if the fever is over 100°F. B. Administer the vaccinations as scheduled. C. Give the infant the flu vaccination but withhold the others. D. Postpone all vaccinations.

Correct Answer is A

Explanation

Choice A reason: It is crucial to assess for fever, as a fever over 100°F after exposure to the flu may indicate an active infection, necessitating the postponement of immunizations.

Choice B reason: Administering vaccinations without assessing the child's health status, especially after known exposure to the flu, could be risky.

Choice C reason: Giving only the flu vaccination ignores the potential risk of the infant currently incubating the flu virus, which could be exacerbated by vaccination.

Choice D reason: While withholding all vaccinations is a cautious approach, it is not necessary unless the infant shows signs of illness, such as a fever over 100°F.

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What is the most likely cause of a 12-month-old's persistent diaper rash, characterized by perianal inflammation with bright red scaly plaques, small papules, and satellite lesions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When caring for a four-year-old who has been admitted to the hospital after having a febrile seizure, which of the following statements should be included when educating the parents? Select the two responses that apply:

Correct Answer is ["A","C","D"]

Explanation

What is the most appropriate action for the nurse to take, given that a 4-month-old infant, brought in for a routine checkup and vaccinations, was exposed to a sibling with the flu?

Correct Answer is A

Explanation

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