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Chapter 30: Caring for the Child With an Integumentary Condition Nursing School Test Banks
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Chapter 30: Caring for the Child With an Integumentary Condition Nursing School Test Banks
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Chapter 30: CarŤng for the Search … ChŤld WŤth an
Integumentary CondŤtŤon
NursŤng School Test Banks
Chapter 30: Caring for the Child With a Integumentary
Condition
MULTIPLE CHOICE
1. A motherbaby nurse is demonstrating swaddling a
neonate as a method of keeping the baby warm. The
mother asks why she needs to be so careful about the
babys temperature. Which response by the nurse is the
most appropriate?
A. After being in your womb for 9 months, this is how the
baby prefers to stay.
B. Babies immune systems are immature; any cold breeze
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,will make them sick.
C. Their skin is thin and they have little fat, so its hard to
control their temperature.
D. You need to keep their temperature above what we call
normal to keep them well.
ANS: C
Babies have thin skin, a large body surface area, scanty
subcutaneous fat, and immature neurological systems. All
these factors combined make it difficult for a baby to
regulate his or her temperature. The other statements are
not factual or informative.
Cognitive Level: Comprehension/Understanding
Content Area: Pediatrics/Maternity
Patient Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Difficulty: Easy
PTS: 1
2. A nurse is working with a child who has a chronic skin
disorder consisting of many vesicles and pustules. Which
nursing assessment indicates that a priority long-term goal
has been met?
A. Child states that he no longer gets teased at school
because of his appearance.
B. Parents and child verbalize acceptance of disease
process and need for medication.
C. Patient participates in sporting events and other after
school-activities regularly.
D. Skin around primary lesions remains free of redness,
warmth, swelling, and pain.
ANS: D
All options show evidence of positive outcomes. However,
physical needs take priority over psychosocial needs, so
absence of infection is evidence that a priority goal has
been met. Secondary infection can occur due to scratching,
picking, and the presence of the lesions themselves.
Cognitive Level: Evaluation/Evaluating
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Reduction of Risk
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, Potential
Integrated Process: Nursing Process: Evaluation
Difficulty: Moderate
PTS: 1
3. A child takes anti-inflammatory medications for a
chronic condition. The mother asks the nurse why the
childs cuts and scrapes seem to take so long to heal. Which
response by the nurse is the most appropriate?
A. Chronic diseases always affect the healing process.
B. Inflammation is the first stage of healing wounds.
C. Sick kids tend to be anemic, which often delays healing.
D. Wound healing would not be affected in your child.
ANS: B
The first stage of healing consists of the inflammatory
process, which is being hampered by this childs need to
take chronic anti-inflammatory medications. Although
chronic disease can affect healing, this answer is too
vague to be useful. Not all sick children are anemic. Wound
healing definitely would be affected in this child.
Cognitive Level: Comprehension/Understanding
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Physiological
Adaptation
Integrated Process: Teaching/Learning
Difficulty: Moderate
PTS: 1
4. An adolescent patient has acne characterized by
pustules and scarring. Which teaching information is most
appropriate for the nurse to give the patient and family?
A. Scrub your face vigorously twice a day with soap and
water.
B. Tetracycline (Sumacin) will make you more sensitive to
the sun.
C. Use good moisturizer because treatment is very drying.
D. You need a pregnancy test every 3 months on
isotretinoin (Accutane).
ANS: B
Tetracycline, minocyline, and doxycycline all cause
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