Page 901 - Saunders Comprehensive Review For NCLEX-RN

(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.
Test-Taking Strategy: Option 3 can be eliminated because the child should be
clothed. Eliminate option 1 next because of the closed-ended word, “only,” in this
option. From the remaining options, recalling the procedure for the application of
this lotion will direct you to the correct option.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Pediatrics: Integumentary
Health Problem: Pediatric-Specific: Skin Inflammation/Infection
Priority Concepts: Client Education; Tissue Integrity
References: Burchum, Rosenthal (2016) p. 1202.; McKinney et al. (2018), p. 1186.

297. Answer: 3

Rationale: Impetigo is a contagious bacterial infection of the skin caused by β-
hemolytic streptococci or staphylococci, or both. Impetigo is most common during
hot, humid summer months. Impetigo may begin in an area of broken skin, such as
an insect bite or atopic dermatitis. Impetigo is extremely contagious. Lesions usually
are located around the mouth and nose but may be present on the hands and
extremities.
Test-Taking Strategy: Note the strategic words, need for further instruction. These
words indicate a negative event query and ask you to select an option that is an
incorrect statement. Think about the pathophysiology associated with impetigo.
Knowledge regarding the cause and manifestations of impetigo will direct you to the
correct option.
Level of Cognitive Ability: Evaluating
Client Needs: Safe and Effective Care Environment
Integrated Process: Teaching and Learning
Content Area: Pediatrics: Integumentary
Health Problem: Pediatric-Specific: Skin Inflammation/ Infection
Priority Concepts: Client Education; Infection
Reference: McKinney et al. (2018), pp. 1178-1179.

298. Answer: 1

Rationale: Lindane is a pediculicide product that may be prescribed to treat
scabies. It is contraindicated for children younger than 2 years because they have
more permeable skin, and high systemic absorption may occur, placing the children
at risk for central nervous system toxicity and seizures. Lindane also is used with
caution in children between the ages of 2 and 10 years. Siblings and other household
members should be treated simultaneously. Options 2 and 4 are unrelated to the use
of lindane. Lindane is not recommended for use by a breast-feeding woman because

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