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What is the appropriate technique for the application of a topical treatment for a child with eczema?
- A. Apply skin lotions in a circular motion.
- B. Apply prescribed ointments with a gloved hand.
- C. Apply as much and as frequently as relieves the symptoms.
- D. Choose lanolin-based ointments.
Correct Answer: B
Rationale: Applying prescribed ointments with a gloved hand in long, smooth strokes prevents irritation and avoids lanolin-based products due to potential allergies.
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What should the nurse keep in mind when providing care to the school-age child hospitalized with a burn injury?
- A. Hospitalization will be brief.
- B. Analgesics should be given immediately after dressing changes.
- C. Contact with peers should be maintained.
- D. Parents usually handle injury worse than the child.
Correct Answer: C
Rationale: Maintaining peer contact supports the emotional well-being of a school-age child during prolonged burn-related hospitalization.
Which factor(s) activate the herpes simplex virus type I?
- A. Stress
- B. Sun
- C. Menses
- D. Fever
- E. Food allergies
Correct Answer: A,B,C,D
Rationale: Stress, sun exposure, menses, and fever can trigger herpes simplex virus type I, leading to cold sores.
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.
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.