Nokea
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.
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Which complication does the nurse anticipate?
- A. Diverticulitis
- B. Stress diarrhea
- C. Curling's ulcer
- D. Perforated bowel
Correct Answer: C
Rationale: Curling's ulcer, a stress-related complication, is common in burn victims after prolonged ICU stays.
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.
With what is this symptom associated?
- A. Scabies
- B. Pediculosis capitis
- C. Tinea corporis
- D. Eczema
Correct Answer: A
Rationale: Intense itching, especially at night in the axilla and between fingers, is characteristic of scabies.
What information can the nurse provide to the mother to start eradication of the lice?
- A. Cover the hair with Vaseline.
- B. Apply a soda-vinegar solution to the hair.
- C. Comb through the hair with a vinegar-water solution.
- D. Shampoo the hair with dish detergent.
Correct Answer: C
Rationale: Combing with a vinegar-water solution and a fine-tooth comb, followed by shampooing, is an effective initial step for lice eradication.
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.