Week 6 Presentation Questions

A parent brings a 4-month-old infant to the clinic for persistent diaper rash.

The parent states, " My baby's diaper rash doesn't get better. I change the diaper

frequently and make sure I clean off all the zinc oxide cream with every diaper

change." which response by the nurse demonstrates understanding of proper

zinc oxide application?

 You should leave the zinc oxide cream on the skin and apply new cream over the existing cream layer.

A 12-year-old kid contacted a poison ivy with his skin appearing red, scalyand thickened. He states that it's itchy, burns and not comfortable. Which of-the following is the priority intervention?

 Flush the skin with cold water immediately

A 6-month-old infant is in the clinic for a check-up. Which of the following is a

concerning clinical manifestation of cerebral palsy?

Hyperreflexia

A nurse is caring for a patient with recurrent folliculutis in the scalp. Which teaching point is most important to include to prevent it?

Clean shaving instruments thoroughly before each use

A nurse is caring for a client with a severe sunburn presenting with blistering, and fatigue. What is the priority nursing intervention

• Administer IV fluids as ordered

A client is diagnosed with seborrheic dermatitis and asks how to best manage flare-ups. Which of the following should the nurse recommend?

• Wash the scalp daily with selenium sulfide shampoo

A school-aged child has impetigo. What instruction should the nurse provide to the child’s caregiver?

• Apply warm compresses to the lesions before applying topical abx

10 y/o has a skin infection secondary to MRSA. What instructions are most important to teach the parents?

• Keep wound covered and teach your hild not to share personal items

A patient is getting IV abx for cellulitis secondary to bug bits. Which findings suggests treatment is effective?

• Decreased redness and temperature

You are a nurse in the pediatric unit, and you have just received your change-of-shift report. One of your patients, is a 10-year-old child who was recently admitted for frostbite on the hands and fingers. The affected sites are pale and gray, with a hard and cold feeling. There are blisters, but no presence of eschar. Below, what are the contraindicated and anticipated interventions and treatments? 

• Contraindicated 

  • Massaging the fingers and toes to bring back blood flow and circulation for natural warming

  • Apply tight and adherent dressings to the affected sites

  • Debridement of necrotic tissue

• Anticipated

  • Immediately warm the affected sites by submerging them in warm water (37-42 C) for about 15-30minutes

  • Administer pain medications before and after rewarming the affected sites

A nurse is caring for a child who has severe hypothermia. Which of the following actions should the nurse take? (Select all that apply)

• Assess the child’s temperature every 4 hours

• Administer warm IV fluids

• Initiate cardiac monitoring

• Apply hot towels to the child

• Administer warm, humidified oxygen

A patient is brought into the ER with burns on the right extremities. The assessment and priority interventions were done to stabilize the patient. During this process, you notice that the skin was (1), with presence of eschar, bones, and tissue beyond the subcutaneous fat. You know that this resembles a (2)-degree burn, and that the patient currently cannot feel (3). You understand that the treatment process may take (4), with the possibility of having an amputation, and can leave scarring. You prepare to reassure and educate the family and patient soon.

• 1 

  • Charred

  • Red

  • Appropriate to Ethnicity

• 2

  • Fourth

  • Third

  • Fifth

• 3

  • Pain

  • Scared

• 4

  • Week to Months

  • Days to Weeks

  • Never

A 7-year-old girl who has been repeatedly scratching her scalp is being evaluated by a school nurse. The nurse examines the patient andfinds tiny, oval-shaped, white particles that are securely affixed to the hair shaft, particularly behind the ears and around the back of the-=neck. Which nursing intervention is the most important?

Apply gloves to examine the child's scalp in more detail and advise the parents about the proper use of 1% permethrin shampoo.

A child with skeletal TB affecting the spine is being cared for by a nurse. Which nursing

intervention from the list below is most appropriate?

 Emphasize to the family the significance of taking the entire course of TB medicine.

A parent of a child with a scabies diagnosis is receiving discharge instructions from a nurse.

Which of the parent's statements below best describes the need for further instruction?

“Only my child needs treatment since no one else in the family has symptoms."

A nurse is caring for an infant diagnosed with Epidermolysis Bullosa (E.B.). Which of the following nursing interventions is the MOST important to include in the infant's care plan? 

• Minimizing handling during diaper changes and bathing. 

You go to examine the child’s area of complaint and it presents as tiny red pimples beginning to resemble an oval. The mom asks you if you know what this might be. What is your response to the mother? 

• “This has the s/s of dermatophytosis; but the provider will be in to confirm and answer all your questions.” 

A nurse is caring for a 6-year-old child who is immobile due to a spinal cord injury. Which of the following actions should the nurse take to prevent the development of pressure ulcers?

Apply moisture barrier cream to the skin around the perineal area. 

A nurse is providing discharge teaching to the parents of a 7 year old child recently diagnosed with guttate psoriasis. Which of the following instructions should the nurse include?

 Watch for signs of strep throat as it can worsen your child’s condition.

A 16 year old patient with moderate acne vulgaris is prescribed tretinoin cream. Which of the following instructions should the nurse include in the teaching plan?

Avoid sun exposure while using the medication. 

A nurse is caring for a 3 year old child diagnosed with atopic dermatitis. Which of the following interventions should the nurse include in the child’s plan of care to minimize skin irritation?

Apply a thick layer or petroleum jelly after each bath.

A nurse is assessing an infant diagnosed with oral candidiasis (thrush). Which of the following

findings is most characteristic of this condition?

Thick white patches on the tongue and inside the cheeks that do not wipe off easily

The nurse is providing discharge teaching to the parent of an infant diagnosed with oral candidiasis. Which of

the following statements by the parent indicate understanding of the instructions? (Select all that apply)

• B. “I need to sterilize all pacifiers and bottles daily.”

• D. “I will finish the full course of medication even if the patches go away.”

An infant with oral thrush is refusing to feed and is irritable. What is the nurse’s priority action?

• Assess for dehydration and monitor intake/output