A nurse is providing discharge instructions to the parent of a child diagnosed with impetigo. Which of the following statements by the parent indicates a correct understanding of the treatment plan?

"Handwashing is not necessary since impetigo is not contagious."

“I should apply Mupirocin (Bactroban) to the affected areas as prescribed."

“I don't need to cover the lesions; they should be left open to the air."

“I will let my child scratch the lesions to help them dry out faster."

Answer and Explanation

The Correct Answer is B

A. "Handwashing is not necessary since impetigo is not contagious." Impetigo is highly contagious, and proper hand hygiene is essential to prevent its spread to others.

B. “I should apply Mupirocin (Bactroban) to the affected areas as prescribed." Mupirocin (Bactroban) is the standard topical antibiotic treatment for impetigo and should be applied as prescribed to reduce bacterial colonization and promote healing.

C. “I don't need to cover the lesions; they should be left open to the air." Covering the lesions can help prevent the spread of infection by minimizing contact with contaminated surfaces.

D. “I will let my child scratch the lesions to help them dry out faster." Scratching can worsen the infection, spread bacteria to other parts of the body, and lead to secondary infections.

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Correct Answer is C

Explanation

A. Infection. Infection is a major concern in burn patients due to loss of skin integrity, but airway compromise is the most immediate life-threatening risk.

B. Paralytic ileus. Burn patients may develop paralytic ileus due to stress response and fluid shifts, but this is not the highest priority compared to airway obstruction.

C. Airway obstruction. Burns involving the face, neck, and chest increase the risk of airway swelling and obstruction. The nurse should assess for signs of respiratory distress, stridor, or hoarseness and be prepared for early intubation if needed.

D. Fluid imbalance. Fluid shifts can cause hypovolemia and shock, making fluid resuscitation critical. However, airway management remains the highest priority, especially in burns affecting the upper airway.

A. Initiate fluid resuscitation. B. Insert an indwelling urinary catheter. C. Maintain the airway. D. Medicate for pain.

Correct Answer is C

Explanation

A. Initiate fluid resuscitation. Fluid resuscitation is critical to prevent hypovolemic shock, but airway maintenance takes precedence, especially in burns involving the chest and upper body.

B. Insert an indwelling urinary catheter. Urinary catheter insertion is important for monitoring urine output and assessing renal function, but it is not the first priority.

C. Maintain the airway. Burns to the chest, neck, and face increase the risk of airway edema and compromise. The nurse should assess for signs of inhalation injury, hoarseness, or stridor and prepare for early intubation if necessary.

D. Medicate for pain. Pain management is important but is not the highest priority in the resuscitation phase when securing the airway and preventing hypoxia are more critical.

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A nurse is providing discharge instructions to the parent of a child diagnosed with impetigo. Which of the following statements by the parent indicates a correct understanding of the treatment plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?

Correct Answer is C

Explanation

A nurse in an emergency department is caring for a client who has deep partial- and full-thickness burns to his chest, abdomen, and upper arms. What is the nurse's priority intervention for this client during the resuscitation phase of injury?

Correct Answer is C

Explanation

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