Peds-Integumentary Study Guide Exam 2024.

Peds-Integumentary Study Guide Exam 2024. The nurse is monitoring a child with burns during treatment for burn shock. The nurse understands that which assessment provides the most accurate guide to determine the adequacy of fluid resuscitation? - CORRECT ANSWER Neurological assessment The mother of a 3-year-old child arrives at a clinic and tells the nurse that the child has been scratching the skin continuously and has developed a rash. The nurse assesses the child and suspects the presence of scabies. The nurse bases this suspicion on which finding noted on assessment of the child's skin? - CORRECT ANSWER Fine grayish red lines Eczema: Thick, honey-colored crusts are characteristic of impetigo or secondary infection in eczema. Herpesvirus: Clusters of fluid-filled vesicles are seen in herpesvirus infection. Permethrin (Elimite) is prescribed for a child with a diagnosis of scabies. The nurse should give which instruction to the parents regarding the use of this treatment? - CORRECT ANSWER Permethrin (Elimite): used for scabies Apply the lotion to cool, dry skin at least 30 minutes after bathing. Permethrin is massaged thoroughly and gently into all skin surfaces (not just the areas that have the rash) from the head to the soles of the feet. Care should be taken to avoid contact with the eyes. The lotion should not be applied until at least 30 minutes after bathing and should be applied only to cool, dry skin. The lotion should be kept on for 8 to 14 hours, and then the child should be given a bath. The child should be clothed during the 8 to 14 hours of treatment contact time. The school nurse has provided an instructional session about impetigo to parents of the children attending the school. Which statement, if made by a parent, indicates a need for further instruction? - CORRECT ANSWER Lesions most often are located on the arms and chest."