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 D

Explanation

A. Poor personal hygiene. SJS is not caused by poor hygiene. It is a severe hypersensitivity reaction, most often triggered by medications or infections.

B. A family history of autoimmune disorders. While some autoimmune conditions may predispose individuals to skin disorders, SJS is primarily a reaction to medications or infections rather than an inherited autoimmune condition.

C. Chronic sun exposure. Chronic sun exposure is associated with conditions like actinic keratosis and skin cancers, not SJS.

D. A recent course of antibiotics. Medications, especially antibiotics (e.g., sulfonamides), anticonvulsants, and NSAIDs, are the most common triggers of SJS. This severe reaction results in widespread skin detachment and mucosal involvement.

A. Administer antibiotics to the client. B. Teach relaxation breathing to reduce the client's pain. C. Increase the client's protein intake. D. Provide the client with antipyretic therapy.

Correct Answer is A

Explanation

A. Administer antibiotics to the client. Osteomyelitis is a severe bone infection that requires immediate antibiotic therapy to eliminate the infection and prevent complications such as sepsis or bone necrosis.

B. Teach relaxation breathing to reduce the client’s pain. Pain management is important, but it does not address the underlying cause of osteomyelitis. Treating the infection is the priority.

C. Increase the client’s protein intake. A high-protein diet can promote healing, but it does not directly treat the infection and is not the priority intervention.

D. Provide the client with antipyretic therapy. Fever management is beneficial, but treating the underlying infection with antibiotics is more important than simply reducing fever.

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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 is reviewing the medical record of a patient diagnosed with Stevens-Johnson Syndrome (SJS). Which of the following findings should the nurse identify as the most likely cause of this condition?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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