Page 902 - Saunders Comprehensive Review For NCLEX-RN

the medication is secreted into breast milk.
Test-Taking Strategy: Focus on the subject, contraindications of lindane. Recall
the concepts related to the body surface area of children and an 18-month-old, and
medication administration. These concepts will direct you to the correct option.
Level of Cognitive Ability: Analyzing
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process—Analysis
Content Area: Pediatrics: Integumentary
Health Problem: Pediatric-Specific: Skin Inflammation/ Infection
Priority Concepts: Clinical Judgment; Safety
Reference: McKinney et al. (2018), pp. 1186, 1188.

299. Answer: 4

Rationale: Contact dermatitis is a superficial inflammatory process involving
primarily the epidermis. A topical corticosteroid may be prescribed and should be
applied sparingly (thin layer) and rubbed into the area thoroughly. The affected area
should be cleaned gently before application. A topical corticosteroid should not be
applied over extensive areas. Systemic absorption is more likely to occur with
extensive application.
Test-Taking Strategy: Focus on the subject, application of a topical corticosteroid.
Eliminate option 3 first because it does not make sense not to clean an affected area.
Eliminate option 1 because medicated cream should be applied only to areas that are
affected. Eliminate option 2 because of the word thick.
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
Reference: McKinney et al. (2018), p. 1177.

300. Answer: 4

Rationale: Pediculosis capitis is an infestation of the hair and scalp with lice. The
nits are visible and attached firmly to the hair shaft near the scalp. The occiput is an
area in which nits can be seen. Maculopapular lesions behind the ears or lesions that
extend to the hairline or neck are indicative of an infectious process, not pediculosis.
White flaky particles are indicative of dandruff.
Test-Taking Strategy: Focus on the subject, the characteristics of pediculosis
capitis. Option 3 can be eliminated first, because white flaky particles are indicative
of dandruff. Recalling that in this infestation nit sacs attach to the hair shaft will
direct you to the correct option.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pediatrics: Integumentary

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