Which assessment finding indicates severe burn injury in a child?
Pain in affected area.
No pain with pale, leathery skin.
Mild erythema.
Blister formation.
The Correct Answer is B
Choice A rationale
Pain is a common symptom in superficial and partial-thickness burns where nerve endings are still intact. While pain indicates tissue damage, the absence of pain in a burn area can signify deeper and more severe injury where nerve endings have been destroyed.
Choice B rationale
No pain with pale, leathery skin is a characteristic finding of a full-thickness (third-degree) burn. The destruction of nerve endings eliminates pain sensation, and the skin appears dry, leathery, and may be white, charred, or translucent due to damage to all skin layers and underlying tissue.
Choice C rationale
Mild erythema, or redness of the skin, is characteristic of a superficial (first-degree) burn, such as a sunburn. These burns involve only the epidermis and are typically painful and without blisters.
Choice D rationale
Blister formation is a hallmark of partial-thickness (second-degree) burns, which involve the epidermis and part of the dermis. These burns are typically painful and moist.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Avoiding fruit juice is a helpful recommendation because fruit juices are often high in simple sugars, which can draw water into the bowel and potentially worsen diarrhea. This statement indicates a good understanding of dietary management for diarrhea.
Choice B rationale
Offering small amounts of oral rehydration solution frequently is a crucial aspect of managing acute diarrhea in toddlers to prevent dehydration by replacing lost fluids and electrolytes. This demonstrates appropriate knowledge of fluid management.
Choice C rationale
Giving over-the-counter antidiarrheal medicine to stop the stools is generally not recommended for toddlers with acute diarrhea without specific guidance from a healthcare provider. These medications can sometimes mask underlying issues or have adverse effects in young children. This statement indicates a need for further explanation regarding safe medication use.
Choice D rationale
Continuing to offer the child their usual foods as tolerated is generally advised to maintain nutritional intake during diarrhea. Bland foods like toast, rice, bananas, and applesauce are often well-tolerated. This shows an understanding of appropriate dietary progression.
Correct Answer is A
Explanation
Choice A rationale
Impetigo is a highly contagious superficial skin infection commonly caused by *Staphylococcus aureus* or *Streptococcus pyogenes*. The typical presentation includes small red papules that rapidly evolve into vesicles or pustules, which then rupture, leaving behind characteristic honey-colored, crusted lesions, often around the nose and mouth, consistent with the image and the reported progression.
Choice B rationale
Herpes simplex is caused by the herpes simplex virus (HSV) and typically presents as clusters of small, painful vesicles on an erythematous base, often around the mouth (oral herpes or cold sores) or genitals. While it can cause blisters, the progression to honey-colored crusts is not characteristic of herpes simplex infections.
Choice C rationale
Ringworm, or tinea corporis or tinea faciei when on the face, is a fungal infection that typically presents as circular, scaly patches with a raised border and central clearing. It is not characterized by the formation of blisters that rupture and form honey-colored crusts.
Choice D rationale
Contact dermatitis is an inflammatory skin reaction caused by direct contact with an irritant or allergen. It can present with redness, itching, swelling, and sometimes blisters, but the lesions are typically more widespread and do not characteristically form the honey-colored crusts seen in impetigo.
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