Chapter 30: Caring for the Child With a Integumentary Condition

Chapter 30: Caring for the Child With a Integumentary Condition

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A mother–baby nurse is demonstrating swaddling a neonate as a method of keeping the baby warm. The mother asks why she needs to be so careful about the baby’s temperature. Which response by the nurse is the most appropriate?

ANS:  C

Babies have thin skin, a large body surface area, scanty subcutaneous fat, and immature neurological systems. All these factors combined make it difficult for a baby to regulate his or her temperature. The other statements are not factual or informative.

Cognitive Level: Comprehension/Understanding

Content Area: Pediatrics/Maternity

Patient Needs: Health Promotion and Maintenance

Integrated Process: Teaching/Learning

Difficulty: Easy

PTS:   1

2. A nurse is working with a child who has a chronic skin disorder consisting of many vesicles and pustules. Which nursing assessment indicates that a priority long-term goal has been met?

ANS:  D

All options show evidence of positive outcomes. However, physical needs take priority over psychosocial needs, so absence of infection is evidence that a priority goal has been met. Secondary infection can occur due to scratching, picking, and the presence of the lesions themselves.

Cognitive Level: Evaluation/Evaluating

Content Area: Pediatrics/Maternity

Patient Needs: Physiological Integrity: Reduction of Risk Potential

Integrated Process: Nursing Process: Evaluation

Difficulty: Moderate

PTS:   1

3. A child takes anti-inflammatory medications for a chronic condition. The mother asks the nurse why the child’s cuts and scrapes seem to take so long to heal. Which response by the nurse is the most appropriate?

ANS:  B

The first stage of healing consists of the inflammatory process, which is being hampered by this child’s need to take chronic anti-inflammatory medications. Although chronic disease can affect healing, this answer is too vague to be useful. Not all sick children are anemic. Wound healing definitely would be affected in this child.

Cognitive Level: Comprehension/Understanding

Content Area: Pediatrics/Maternity

Patient Needs: Physiological Integrity: Physiological Adaptation

Integrated Process: Teaching/Learning

Difficulty: Moderate

PTS:   1

4. An adolescent patient has acne characterized by pustules and scarring. Which teaching information is most appropriate for the nurse to give the patient and family?

ANS:  B

Tetracycline, minocyline, and doxycycline all cause photosensitivity, so the nurse should warn the teen about sun exposure and use of tanning beds. Skin cleansing should be gentle. Although acne treatments are very drying, makeup and moisturizers should not be applied on top of the dry skin. Pregnancy tests are done prior to starting treatment with Accutane, every month during treatment, and 1 month after treatment has stopped.

Cognitive Level: Application/Applying

Content Area: Pediatrics/Maternity

Patient Needs: Physiological Integrity: Pharmacological and Parenteral Therapies

Integrated Process: Teaching/Learning

Difficulty: Moderate

PTS:   1

5. A toddler has a few vesicular lesions on his hands that rupture, producing a honey-colored, sticky exudate. Based on this assessment, which medication does the nurse teach the parents about?

ANS:  D

This child has impetigo, which is treated in one of two ways. For limited lesions (which this child has), topical Bactroban is appropriate. For widespread lesions, Augmentin is one of the antibiotics used. Azithromycin and doxycycline are not used.

Cognitive Level: Application/Applying

Content Area: Pediatrics/Maternity

Patient Needs: Physiological Integrity: Pharmacological and Parenteral Therapies

Integrated Process: Nursing Process: Implementation

Difficulty: Moderate

PTS:     1