A nurse is checking a school-age child for pediculosis capitis. Which of the following findings is a definitive indication of this condition?

Firmly attached white particles on the hair

Itching and scratching of the head

Thick, yellow-crusted lesions on a red base

Patchy areas of hair loss

Answer and Explanation

The Correct Answer is A

A. Firmly attached white particles on the hair:

Firmly attached white particles on the hair are characteristic of nits, which are the eggs of lice. While this finding supports the diagnosis of pediculosis capitis, it is not a definitive indication on its own.

B. Itching and scratching of the head:

Itching and scratching of the head are common symptoms of pediculosis capitis. However, they are also common symptoms of various other scalp conditions, so they are not definitive indications.

C. Thick, yellow-crusted lesions on a red base:

This description is more characteristic of impetigo, a bacterial skin infection, rather than pediculosis capitis. Impetigo typically presents with yellow-crusted lesions on a red base, but it does not involve lice infestation.

D. Patchy areas of hair loss:

Patchy areas of hair loss are not typically associated with pediculosis capitis. This finding is more suggestive of conditions like alopecia areata or fungal infections.

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Correct Answer is D

Explanation

A. Maculopapular lesions between fingers and toes:

This finding is not typically associated with atopic dermatitis. Maculopapular lesions between the fingers and toes are more commonly seen in conditions like scabies or fungal infections.

B. Inflamed area with white exudate:

This finding is also not characteristic of atopic dermatitis. An inflamed area with white exudate may indicate a bacterial infection rather than atopic dermatitis.

C. Nonpruritic erythematous papule:

Atopic dermatitis often presents with erythematous (red) papules (small raised bumps) that are pruritic (itchy). However, the presence of nonpruritic lesions is less typical of atopic dermatitis.

D. Rash with thick skin:

This finding is consistent with atopic dermatitis. Chronic scratching and rubbing of the affected areas can lead to thickening of the skin (lichenification) in individuals with atopic dermatitis.

A. Administer pain medication 30 min before physical therapy. B. Allow the child to set her own schedule for care. C. Provide low-calorie snacks. D. Maintain medical asepsis during dressing changes

Correct Answer is A

Explanation

A. Pain management is critical for burn care, especially before activities like physical therapy that can be painful. Administering pain medication 30 minutes before therapy helps ensure the child is more comfortable and able to participate effectively in rehabilitation. This is a recommended intervention.

B. While involving the child in decisions about their care can promote autonomy and improve adherence, the schedule for burn care and therapy should be based on medical needs and healing processes rather than the child's preference. Care schedules should be designed to optimize healing and manage pain effectively.

C. Provide low-calorie snacks:Burn patients typically have increased nutritional needs due to the high metabolic demands of healing. High-calorie, protein-rich snacks are usually recommended to support wound healing and overall recovery, rather than low-calorie options.

D. Maintain medical asepsis during dressing changes: For burn care, maintaining sterile technique is critical to prevent infection. Medical asepsis is generally not sufficient; sterile technique is required for dressing changes to reduce the risk of infection.

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A nurse is checking a school-age child for pediculosis capitis. Which of the following findings is a definitive indication of this condition?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has atopic dermatitis. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is contributing to the plan of care for a school-age child who has moderate partial-thickness burns on both lower extremities. Which of the following interventions should the nurse include?

Correct Answer is A

Explanation

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