Which is an important nursing consideration when caring for a child with impetigo?
Apply topical corticosteroids to decrease inflammation.
Maintain contact precautions.
Examine child under a wood lamp for possible spread of lesions.
Carefully remove dressings to not dislodge damaged skin, crusts, and debris.
The Correct Answer is B
A. Topical corticosteroids are not typically used for impetigo, as it's a bacterial infection.
B. Impetigo is highly contagious, so contact precautions are essential to prevent the spread of infection. This includes wearing gloves and a gown when providing direct care, and using dedicated equipment for the child.
C. A wood lamp is used to examine the skin for fungal infections, not bacterial infections like impetigo.
D. Impetigo typically doesn't require dressings. If dressings are used, they should be removed gently to avoid further skin damage.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["5.3"]
Explanation
1 kilogram equals 2.2 pounds.
The preschooler weighs 29 pounds, which is approximately 13.18 kilograms (29/2.2). The order is for 40 mg/kg/day
13.18 kg * 40 mg/kg = 527.2 mg/day.
Since the medication is to be administered every 12 hours, divide this daily dosage by 2 to get the per dose amount: 527.2 mg/day / 2 = 263.6 mg/dose.
Now, using the concentration of the elixir, which is 250 mg/5 mL, set up a proportion to find out how many milliliters are needed for the prescribed dose: 250 mg : 5 mL = 263.6 mg : X mL.
Solving for X gives us (263.6 mg * 5 mL) / 250 mg = 5.272 mL per dose.
Rounding to the nearest tenth, the nurse should administer 5.3 mL per dose.
Correct Answer is D
Explanation
A. While it's important for clients to express their feelings and concerns, this intervention does not directly address the issue of the white patches or the potential infection. It may provide emotional support, but it does not contribute to resolving the clinical problem.
B. While some mild cases may resolve on their own, oral thrush often requires antifungal treatment, especially in immunocompromised patients or those on prolonged antibiotic therapy. Telling the patient that it will go away without treatment could lead to worsening symptoms and complications.
C. While oral hygiene is important, rinsing with diluted hydrogen peroxide is not the standard treatment for oral thrush. This method could cause irritation and may not effectively eliminate the fungal infection. Other rinses (like saline) might be more appropriate for general oral care but would not address the underlying candidiasis.
D. White, cheesy patches in the mouth suggest oral thrush, which is commonly treated with antifungal medications (such as fluconazole or nystatin).
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