Which is an important nursing consideration when caring for a child with impetigo?

Apply topical corticosteroids to decrease inflammation.

Maintain contact precautions.

Examine child under a wood lamp for possible spread of lesions.

Carefully remove dressings to not dislodge damaged skin, crusts, and debris.

Answer and Explanation

The Correct Answer is B

A.   Topical corticosteroids are not typically used for impetigo, as it's a bacterial infection.
B.   Impetigo is highly contagious, so contact precautions are essential to prevent the spread of infection. This includes wearing gloves and a gown when providing direct care, and using dedicated equipment for the child.
C.   A wood lamp is used to examine the skin for fungal infections, not bacterial infections like impetigo.
D.   Impetigo typically doesn't require dressings. If dressings are used, they should be removed gently to avoid further skin damage.

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Correct Answer is A

Explanation

A. The appropriate method for tick removal involves using fine-tipped tweezers to grasp the tick as close to the skin's surface as possible and pulling upward with steady, even pressure. This minimizes the risk of the tick's mouthparts breaking off and remaining in the skin.
B. Using bare fingers can be unsanitary and may cause the tick to release more saliva, potentially increasing the risk of disease transmission. Squeezing the tick can also lead to the release of harmful pathogens into the bloodstream.
C. DEET is an insect repellent that is used to prevent tick bites but should not be applied to a tick that is already embedded. Applying repellent will not assist in tick removal and may cause irritation to the skin.
D. While some people believe that applying mineral oil can cause a tick to detach, this method is not recommended. It may irritate the tick and could increase the likelihood of the tick regurgitating pathogens into the skin, raising the risk of infection.

A. Allow the client to verbalize feelings about having the white patches. B. Explain the patches will go away on their own in about 2 weeks. C. Instruct to rinse the mouth with diluted hydrogen peroxide and water daily. D. Notify the health care provider to obtain an antifungal medication.

Correct Answer is D

Explanation

A. While it's important for clients to express their feelings and concerns, this intervention does not directly address the issue of the white patches or the potential infection. It may provide emotional support, but it does not contribute to resolving the clinical problem.
B. While some mild cases may resolve on their own, oral thrush often requires antifungal treatment, especially in immunocompromised patients or those on prolonged antibiotic therapy. Telling the patient that it will go away without treatment could lead to worsening symptoms and complications.
C. While oral hygiene is important, rinsing with diluted hydrogen peroxide is not the standard treatment for oral thrush. This method could cause irritation and may not effectively eliminate the fungal infection. Other rinses (like saline) might be more appropriate for general oral care but would not address the underlying candidiasis.
D. White, cheesy patches in the mouth suggest oral thrush, which is commonly treated with antifungal medications (such as fluconazole or nystatin).

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Which is an important nursing consideration when caring for a child with impetigo?

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Naxlex Comprehensive Predictor Exams

A school nurse is examining a third-grade student complaining of a small lump on her head. After parting the hair, it is evident that a tick has embedded into the scalp. Which nursing intervention should the school nurse take?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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