Page 899 - Saunders Comprehensive Review For NCLEX-RN

2. Apply the lotion and leave it on for 6 hours.
3. Avoid putting clothes on the child over the lotion.
4. Apply the lotion to cool, dry skin at least 30 minutes after bathing.
297. 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?
1. “It is extremely contagious.”
2. “It is most common in humid weather.”
3. “Lesions most often are located on the arms and chest.”
4. “It might show up in an area of broken skin, such as an insect
bite.”
298. The clinic nurse is reviewing the health care provider’s prescription for a
child who has been diagnosed with scabies. Lindane has been prescribed for
the child. The nurse questions the prescription if which is noted in the child’s
record?
1. The child is 18 months old.
2. The child is being bottle-fed.
3. A sibling is using lindane for the treatment of scabies.
4. The child has a history of frequent respiratory infections.
299. A topical corticosteroid is prescribed by the health care provider for a child
with contact dermatitis (eczema). Which instruction should the nurse give
the parent about applying the cream?
1. Apply the cream over the entire body.
2. Apply a thick layer of cream to affected areas only.
3. Avoid cleansing the area before application of the cream.
4. Apply a thin layer of cream and rub it into the area thoroughly.
300. The school nurse is performing pediculosis capitis (head lice) assessments.
Which assessment finding indicates that a child has a “positive” head check
for lice?
1. Maculopapular lesions behind the ears
2. Lesions in the scalp that extend to the hairline or neck
3. White flaky particles throughout the entire scalp region
4. White sacs attached to the hair shafts in the occipital area
301. The nurse caring for a child who sustained a burn injury plans care based on
which pediatric considerations associated with this injury? Select all that
apply.

1. Scarring is less severe in a child than in an adult.
2. A delay in growth may occur after a burn injury.

3. An immature immune system presents an increased risk of

infection for infants and young children.
4. Fluid resuscitation is unnecessary unless the burned area is
more than 25% of the total body surface area.

5. The lower proportion of body fluid to body mass in a child
increases the risk of cardiovascular problems.

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