Chapter 31 The Child with a Skin Condition - Leifer Maternity and Pediatric Nursing

Chapter 31 The Child with a Skin Condition - Leifer Maternity and Pediatric Nursing

1. The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-monthold infant. How is infant skin different from adult skin? a. Less perfusion b. Greater moisture c. More perspiration d. Greater absorption ANS: D The child’s skin has a dramatically greater ability to absorb than does that of the adult. DIF: Cognitive Level: Comprehension REF: p. 700|Figure 30-1 OBJ: 2 TOP: Skin Comparison KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Basic Care and Comfort 2. What risk is increased with children who have been diagnosed with infantile eczema? a. Pneumonia b. Acne c. Sun sensitivity d. Asthma ANS: D Some children with eczema also develop asthma and hay fever–type allergies. DIF: Cognitive Level: Knowledge REF: pp. 705-706 OBJ: 6 TOP: Infantile Eczema KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 3. What is the appropriate technique for the application of a topical treatment for a child with eczema? a. Apply skin lotions in a circular motion. b. Apply prescribed ointments with a gloved hand. c. Apply as much and as frequently as relieves the symptoms. d. Choose lanolin-based ointments. ANS: B The prescribed amount of ointment is usually applied to the skin by a gloved hand in long, smooth strokes. Lanolin-based preparations should be avoided because of a possible allergy to wool. DIF: Cognitive Level: Knowledge REF: p. 706 OBJ: 7 | 8 TOP: Infantile Eczema KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 4. A 2-day-old infant is noted to have small pustules on her skin. What is the best nursing action? a. Report it immediately because it may be a staphylococcus infection.