Nokea
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.
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What term can be used for an elevated, fluid-filled blister?
- A. Pustule
- B. Papule
- C. Wheal
- D. Vesicle
Correct Answer: D
Rationale: A vesicle is an elevated, fluid-filled blister, such as in cold sores or chicken pox.
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 school nurse caution them to avoid?
- A. Citrus fruit and juice
- B. Eating shellfish
- C. Alcohol consumption
- D. Taking corticosteroids
Correct Answer: C
Rationale: Alcohol consumption with griseofulvin can cause severe tachycardia, so it should be avoided.
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.
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.