Nokea
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.
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What is the best nursing action?
- A. Report it immediately because it may be a staphylococcus infection.
- B. Keep the affected area dry and clean.
- C. Teach the parents how to care for seborrheic dermatitis.
- D. Chart the finding because it may be the beginning of a strawberry nevus.
Correct Answer: A
Rationale: Small pustules on a newborn may indicate a staphylococcus infection, which is contagious and requires immediate reporting.
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 is the nurse aware is the minimum adequate hourly urine output?
- A. 5 mL/hr
- B. 10 mL/hr
- C. 15 mL/hr
- D. 20 mL/hr
Correct Answer: D
Rationale: For children over 2 years, a minimum urine output of 20-30 mL/hr indicates adequate renal perfusion in burn patients.
The nurse assesses a major burn as a full-thickness burn involving __% or more of the body surface.
Correct Answer: 10
Rationale: A full-thickness burn involving 10% or more of the body surface is classified as a major burn.
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.