Pediatrics Chapter 61 Quiz
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Questions and Answers

Based on the signs and symptoms of severe itching and gray-brown burrows, what diagnosis should the nurse expect?

  • Impetigo
  • Contact dermatitis
  • Dermatophytosis
  • Scabies (correct)
  • Which type of therapeutic bath is recommended for its antipruritic action?

  • Saline
  • Sodium bicarbonate (baking soda)
  • Colloidal (oatmeal) (correct)
  • Water
  • Which skin condition is caused by staphylococci, streptococci, or multiple bacteria?

  • Poison ivy
  • Scabies
  • Pediculosis capitis
  • Impetigo (correct)
  • Development of malignant melanoma is associated with which risk factor?

    <p>History of severe sunburn</p> Signup and view all the answers

    Which term refers to a graft derived from one part of a patient's body and used on another part of that same patient's body?

    <p>Autograft</p> Signup and view all the answers

    What recommendation is correct for a young college student with a superinfection of candidiasis after a tongue piercing?

    <p>Use an antifungal mouthwash or salt water</p> Signup and view all the answers

    What medication classification should the nurse assess for a client with a history of contact dermatitis?

    <p>Corticosteroids</p> Signup and view all the answers

    Study Notes

    Scabies and Its Symptoms

    • Scabies presents with severe itching, particularly at night.
    • Characteristic signs include gray-brown burrows, epidermal curved ridges, and follicular papules.
    • Commonly infests areas like finger webs, flexor surfaces of wrists, and antecubital fossae.
    • Most prevalent in school-age children.
    • Colloidal oatmeal baths are effective for reducing itchiness associated with dermatologic conditions.
    • Baking soda baths can be slippery and require precautions.
    • Plain water and saline baths do not specifically alleviate itching.

    Impetigo Overview

    • Impetigo is a bacterial skin infection caused primarily by staphylococci and streptococci.
    • Particularly common among children in unsanitary conditions.
    • Scabies is caused by mites, while pediculosis capitis results from head lice.

    Malignant Melanoma Risk Factors

    • History of severe sunburn significantly increases the risk of developing malignant melanoma.
    • Fair-skinned individuals, especially those who cannot tan, are at greater risk.
    • Incidence is heightened among elderly individuals in sun-exposed regions, like the southwestern USA.

    Types of Skin Grafts

    • An autograft is a graft taken from one site on a patient and used on another site of the same patient.
    • An allograft comes from another human donor, while a homograft refers to the same.
    • A heterograft is derived from a different species, such as animals.

    Candidiasis Superinfection Management

    • Antifungal mouthwash or salt water is recommended for treating superinfection due to antibacterial mouthwash usage.
    • Use a soft-bristled toothbrush to avoid further oral injury, though not a solution for the current issue.
    • Rinsing after meals should include antifungal mouthwash or salt water.
    • Moving jewelry during washing does help clean the area but does not address the infection.

    Contact Dermatitis and Medication Assessment

    • Corticosteroids are often used to manage symptoms of contact dermatitis.
    • Assess the use of other medications such as saline irrigations, antifungals, and antivirals during patient history and physical examination.

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    Description

    This quiz focuses on diagnosing skin conditions in children, particularly scabies. Based on common signs and symptoms, it tests your understanding of different dermatological issues. Prepare to assess clinical scenarios and improve your pediatric care knowledge!

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