Nokea
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.
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Which statement made by a parent indicates the need for further teaching about strategies to control itching for the infant with eczema?
- A. Wool is the best fabric for the infant's clothing.'
- B. I should avoid laundry detergents with fragrances.'
- C. I put cotton gloves on the infant's hands.'
- D. The infant's fingernails are kept short.'
Correct Answer: A
Rationale: Wool can exacerbate eczema due to its allergy potential; cotton clothing is recommended instead.
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.
Which statement made by a parent indicates an understanding of the topical application of medications for a skin condition?
- A. I apply the medication after I give my child a bath.'
- B. I rub the ointment in a circular motion over the rash.'
- C. I increased the amount of cream because the rash was not improving.'
- D. I use powder and cornstarch to keep the skin dry.'
Correct Answer: A
Rationale: Applying topical medications after a bath enhances absorption due to the skin being clean and moist.
How does the nurse classify this burn when documenting?
- A. First-degree
- B. Second-degree superficial
- C. Second-degree deep dermal
- D. Third-degree
Correct Answer: B
Rationale: A second-degree superficial burn is characterized by pink, moist, blistered skin with pain, indicating tissue viability.
The nurse assesses the total body surface area (TBSA) percentage burn as __%.
Correct Answer: 26
Rationale: For a 5-year-old, the TBSA burn is calculated as 26% based on the Burn Size Estimation Table (upper/lower arm 5.5%, hand 2.5%, anterior trunk 13%, genital area 1%, half thigh 4%).