Chapter 30: The Child with a Skin Condition

Chapter 30: The Child with a Skin Condition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old. How is infant skin different from adult skin?

a.	Less perfusion
b.	Greater moisture
c.	More perspiration
d.	Greater absorption

 

 

ANS:  D

The child’s skin has a dramatically greater ability to absorb than does that of the adult.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 684, Figure 30-1

OBJ:   2                    TOP:   Skin Comparison

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

2. What risk is increased with children who have been diagnosed with infantile eczema?

a.	Pneumonia
b.	Acne
c.	Sun sensitivity
d.	Asthma

 

 

ANS:  D

Some children with eczema also develop asthma and hay fever–type allergies.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 689        OBJ:   5

TOP:   Infantile Eczema                             KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

3. 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.

 

 

ANS:  B

The prescribed amount of ointment is usually applied to the skin by a gloved hand in long, smooth strokes. Lanolin-based preparations should be avoided because of a possible allergy to wool.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 690        OBJ:   5

TOP:   Infantile Eczema                             KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

4. A 2-day-old infant is noted to have small pustules on her skin. 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.

 

 

ANS:  A

A staphylococcal infection can spread readily from one infant to another. Small pustules on the newborn must be reported immediately.

 

DIF:    Cognitive Level: Application           REF:   Page 692        OBJ:   7

TOP:   Staphylococcal Infection                  KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

5. The home health nurse discovers a family infected with pediculosis. 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.

 

 

ANS:  C

Combing a vinegar and water solution through the hair with a fine-tooth comb and then shampooing is an initial step toward eradication.

 

DIF:    Cognitive Level: Application           REF:   Page 694        OBJ:   8

TOP:   Tinea Capitis                                   KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Pharmacological Therapies