A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?
Apply bactericidal ointment to lesions.
Soak hairbrushes in boiling water for 10 minutes.
Administer acyclovir PO two times per day.
Seal soft toys in a plastic bag for 14 days.
The Correct Answer is A
A. Impetigo is a highly contagious superficial bacterial skin infection commonly caused by Staphylococcus aureus or Streptococcus pyogenes. Treatment includes topical antibiotic (bactericidal) ointments such as mupirocin, keeping lesions clean and covered, and good hand hygiene to prevent spread. Applying a bactericidal ointment directly treats the bacterial infection and promotes healing.
B. Soaking hairbrushes in boiling water for 10 minutes is more appropriate for infestations like lice. Impetigo is spread by direct contact with lesions or contaminated items, but routine washing with soap and water is sufficient. Boiling hairbrushes is unnecessary.
C. Acyclovir is an antiviral medication used for infections such as herpes simplex or varicella. Impetigo is bacterial, not viral, so antiviral therapy is inappropriate.
D. Sealing soft toys in a plastic bag for 14 days is used for lice management. Impetigo does not require sealing toys for extended periods. Normal laundering of contaminated items is sufficient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This is because oxygen saturation below 90% indicates that the infant is not getting enough oxygen and central cyanosis (bluish color of the skin due to lack of oxygen) is a sign of severe respiratory distress.
Both of these findings require immediate medical attention.
Choice A is wrong because cough or difficulty in breathing, while concerning, may not require immediate reporting to the provider as they are common symptoms of RSV infection.
Choice C is wrong because severe respiratory distress (e.g grunting, very severe chest indrawing), while concerning, may not require immediate reporting to the provider as they are common symptoms of RSV infection.
Choice D is wrong because signs of pneumonia with a general danger, while concerning, may not require immediate reporting to the provider as they are common symptoms of RSV infection.
Correct Answer is A
Explanation
The nurse should request verbal consent from the client for STI testing.
All 50 states and the District of Columbia explicitly allow minors to consent for their own STI services.
Choice B is wrong because it is not necessary to contact the client’s parents to obtain phone consent.
Choice C is wrong because it is not necessary to postpone the testing until the client’s parents are present.
Choice D is wrong because written consent is not required for STI testing.
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