Nokea
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.
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What risk is increased with children who have been diagnosed with infantile eczema?
- A. Pneumonia
- B. Acne
- C. Sun sensitivity
- D. Asthma
Correct Answer: D
Rationale: Children with infantile eczema are at increased risk for asthma and allergic conditions like hay fever.
What information can the nurse provide in educating the parents regarding strawberry nevus?
- A. It is a rare skin variation.
- B. It is harmless.
- C. It gradually becomes raised.
- D. Laser treatment is available.
- E. Sometimes it can disappear spontaneously.
Correct Answer: B,C,D
Rationale: Strawberry nevi are harmless, become raised over time, and often resolve spontaneously; laser treatment is an option for complications.
What should the nurse suggest before a 17-year-old girl starts a protocol of isotretinoin (Accutane) for her acne?
- A. Get a prescription for oral contraceptives.
- B. Increase the dose of the present medication.
- C. Limit intake of chocolate, cola, and peanuts.
- D. Increase exposure to sunlight.
Correct Answer: A
Rationale: Isotretinoin poses a risk of birth defects, so oral contraceptives are recommended to prevent pregnancy during treatment.
The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old infant. How is infant skin different from adult skin?
- A. Less perfusion
- B. Greater moisture
- C. More perspiration
- D. Greater absorption
Correct Answer: D
Rationale: Infant skin has a greater ability to absorb topical medications compared to adult skin, requiring careful application.
What should the nurse stress to the mother of a child with impetigo?
- A. The condition is caused by the herpes simplex virus type I.
- B. The crusts on the lesions should be left in place.
- C. The lesions may spread, but the disease is not contagious.
- D. Small cuts and bites should be treated promptly.
Correct Answer: D
Rationale: Prompt treatment of small cuts and bites prevents bacterial invasion causing impetigo, which is contagious.