Nokea
What diagnosis does the nurse suspect?
- A. Tuberous sclerosis
- B. Eczema
- C. Psoriasis
- D. Systemic lupus erythematosus
Correct Answer: D
Rationale: A butterfly rash over the nose and cheeks is a classic sign of systemic lupus erythematosus.
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Which allergy would contraindicate the use of silver sulfadiazine (Silvadene) as a topical agent for burns?
- A. Penicillin
- B. Iodine
- C. Tetanus immunizations
- D. Sulfa
Correct Answer: D
Rationale: Silver sulfadiazine is contraindicated in patients with sulfa allergies due to potential adverse reactions.
The nurse speaking to a group of junior high school students informs them that acne can be exacerbated by which drug(s)?
- A. Steroids
- B. Phenytoin
- C. Phenobarbital
- D. Aspirin
- E. Oral contraceptives
Correct Answer: A,B,C
Rationale: Steroids, phenytoin, and phenobarbital can exacerbate acne, unlike aspirin or oral contraceptives.
What does the nurse explain as the most likely cause of this rash?
- A. Sun exposure
- B. Allergic reaction
- C. Infection
- D. Heat and moisture
Correct Answer: D
Rationale: Miliaria (prickly heat rash) is caused by excess heat and moisture, leading to pinhead-sized red papules.
What intervention(s) would the nurse preparing a teaching plan for the care of a child with infantile eczema include?
- A. Bathe the child using products with a light fragrance.
- B. Use oatmeal and baking soda as bath additives.
- C. Add bath oil to bath water after the child has soaked.
- D. Apply lanolin-based lotions after the bath.
- E. Bathe child several times a day.
Correct Answer: B,C
Rationale: Oatmeal and baking soda soothe eczema, and adding bath oil after soaking enhances effectiveness; fragranced products, lanolin, and frequent bathing are avoided.
What is the correct nursing response to a mother who asks, 'How can I get rid of the baby's cradle cap?'
- A. Rub baby oil on the infant's head at night and shampoo the hair the next morning.'
- B. Use a brush with firm bristles to loosen the scales on the baby's head several times a day.'
- C. Wash the baby's head every night with a dandruff-control shampoo.'
- D. Lubricate the baby's head every morning with a small amount of olive oil.'
Correct Answer: A
Rationale: Applying baby oil at night and shampooing the next morning softens and removes cradle cap scales effectively.