Safe Maternity Pediatric Nursing By Care Palmer Coats
Safe Maternity Pediatric Nursing By Care Palmer Coats
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Chapter 38: Child With a Skin Condition
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which parental statement regarding preventive strategies for insect bites and stings indicates the need for further education?
| 1) | “If my child wears bright colors and floral prints when outdoors, she will blend in with the surroundings, and the stinging insects will not sting her.” |
| 2) | “We should remove any items with standing water from our yard and surrounding area to prevent mosquito reproduction.” |
| 3) | “My child can use insect repellent containing DEET of 10% or less.” |
| 4) | “My child should avoid heavy colognes, perfumes, and soaps so that insects are not attracted to them.” |
____ 2. The pediatric nurse is assessing a wound on a preschool-aged child’s leg and notes that the site is pink with the formation of new epithelial cells. Based on these data, which term does the nurse use to describe the current stage of healing?
| 1) | Proliferation |
| 2) | Inflammation |
| 3) | Restoration |
| 4) | Remodeling |
____ 3. The nurse is providing care to a child diagnosed with impetigo. The child’s parents ask what caused this to occur. Which organism does the nurse include when educating the parents about impetigo?
| 1) | Staphylococcus aureus |
| 2) | Human papillomavirus (HPV) |
| 3) | Pseudomonas aeruginosa |
| 4) | Escherichia coli |
____ 4. Which is the priority nursing intervention for a 4-year-old patient brought to the emergency department (ED) for treatment of frostbite?
| 1) | Administering analgesics |
| 2) | Immersing the hands in extremely warm water (48.9°C [120°F]) |
| 3) | Not removing clothing |
| 4) | Placing the extremity in a dependent position |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 38: Child With a Skin Condition
Chapter learning objective: Determine best practices to manage the symptoms of skin disorders across childhood.
Chapter page reference: 638
Heading: Infant Skin
Integrated processes: Teaching and Learning
Client need: Health Promotion and Maintenance
Cognitive level: Analysis [Analyzing]
Concept: Promoting Health
Difficulty: Difficult
| Feedback | |
| 1 | Bright-colored clothing and floral prints attract insects. White and light-colored clothing should be worn. This statement requires clarification. |
| 2 | Standing water is a breeding ground for mosquitoes. Rid yards of all birdbaths, stagnant pools, and any standing water that mosquitoes can use for breeding. No clarification is needed. |
| 3 | DEET is an appropriate insect repellent and can be used in children. A concentration of 10% or less is recommended because of neurotoxic effects at greater concentrations. No clarification is needed. |
| 4 | Heavy colognes, perfumes, soaps, and detergents resemble flowers and plants and attract stinging insects. This statement is correct. |
PTS: 1 CON: Promoting Health
Chapter number and title: 38: Child With a Skin Condition
Chapter learning objective: Determine best practices to manage the symptoms of skin disorders across childhood.
Chapter page reference: 639-640
Heading: Wound Healing
Integrated processes: Clinical Problem-Solving Process
Client need: Physiological Adaptation
Cognitive level: Comprehension [Understanding]
Concept: Skin Integrity
Difficulty: Easy
| Feedback | |
| 1 | Proliferation is the second phase of healing, in which blood flow is reestablished to the site and natural débridement occurs. This phase, lasting 2 days to 3 weeks, occurs when the wound contracts and a fine layer of epithelial cells cover the site of new collagen. |
| 2 | The first stage of healing, inflammation, reflects the skin’s initial healing response and lasts about 2 to 5 days. This is a preparatory stage for repair. |
| 3 | Restoration is not a term used to describe a phase of wound healing. |
| 4 | During remodeling, the third phase, collagen production occurs and allows for scar production. This phase, lasting 3 weeks to 2 years, allows the collagen to increase the tensile strength of the newly mended tissue. |
PTS: 1 CON: Skin Integrity
Chapter number and title: 38: Child With a Skin Condition
Chapter learning objective: Differentiate among various rashes that can be found during childhood.
Chapter page reference: 647
Heading: Impetigo
Integrated processes: Teaching and Learning
Client need: Physiological Adaptation
Cognitive level: Application [Applying]
Concept: Skin Integrity
Difficulty: Moderate
| Feedback | |
| 1 | Impetigo may be caused by S aureus or Streptococcus pyogenes (S pyogenes) or both. On rare occasions, another bacterium may be responsible for the skin infection. |
| 2 | Viral infections can be caused by any number of viruses, but those encountered most often include a member of the poxvirus group, herpes simplex 1 or 2 and HPV. |
| 3 | P aeruginosa is an aerobic bacterium containing gram-negative rods that occur singly. Some species are plant pathogens, and others are involved in human infections. |
| 4 | E coli is a species that occurs normally in the intestines of humans and is a frequent cause of urinary tract infections and diarrhea in infants. |
PTS: 1 CON: Skin Integrity
Chapter number and title: 38: Child With a Skin Condition
Chapter learning objective: Determine best practices to manage the symptoms of skin disorders across childhood.
Chapter page reference: 641
Heading: Common Skin Disorders
Integrated processes: Clinical Problem-Solving Process
Client need: Physiological Adaptation
Cognitive level: Analysis [Analyzing]
Concept: Skin Integrity
Difficulty: Difficult
| Feedback | |
| 1 | Administering analgesics to decrease the pain of the rewarming process is the priority nursing action in this situation. |
| 2 | The nurse should use mildly warm water (at 37.8°C to 40°C [100°F to 104°F) to warm the extremity. |
| 3 | Nursing interventions for frostbite include removing wet clothing. |
| 4 | Nursing interventions for frostbite include raising the affected extremity to improve venous return. |
PTS: 1 CON: Skin Integrity
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