Silvestri, 3/e, ISBN 1-1460-0052-6Chapter 035 (edited file)—"Integumentary Disorders"10/14/08, Page 2 of 6, 1 Figure(s), 0 Table(s), 3 Box(es)
Integrated Process: Teaching/LearningContent Area: Child HealthReference: Price, D., & Gwin, J. (2005).
Thompson’s pediatric nursing
(9th ed.). Philadelphia:W.B. Saunders, p. 133.3. A nurse provides instructions to the mother of a child with impetigo regarding the applicationof antibiotic ointment and the mother asks the nurse when the child can return to school. Thenurse tells the mother that the child can return to school:1. Twenty-four hours after using antibiotic ointment2. Forty-eight hours after using antibiotic ointment3. One week after using antibiotic ointment4. Ten days after using antibiotic ointmentAnswer: 2Rationale: The child should not attend school for 24 to 48 hours after the initiation of systemicantibiotics or 48 hours after using antibiotic ointment. The school should be notified of thediagnosis. Therefore, options 1, 3, and 4 are incorrect.Test-Taking Strategy: Use knowledge related to the administration of antibiotics to answer thequestion. Eliminate options 3 and 4 first because the time frames are closely related and rather lengthy. Note the key word,
, in the question; this should assist in directing you tooption 2. Review the treatment measures for impetigo if you had difficulty with this question.Level of Cognitive Ability: ApplicationClient Needs: Safe, Effective Care EnvironmentIntegrated Process: Nursing Process/ImplementationContent Area: Child HealthReference: McKinney, E., James, S., Murray, S., & Ashwill, J. (2005).
(2nd ed.). St. Louis: Elsevier, p. 366.4. A nurse provides instructions regarding the use of permethrin 1% (Nix) to the parents of achild diagnosed with pediculosis (head lice). Which statement by a parent indicates a need for further instruction?1. “The medication can be obtained over the counter in a local pharmacy.”2. “The medication is applied to the hair after shampooing and left on for 24 hours.”3. “The medication is applied to the hair after shampooing, left on for 10 minutes, and thenrinsed out.”4. “The hair should not be shampooed for 24 hours following treatment.”Answer: 2Rationale: Permethrin 1% is an over-the-counter antilice product that kills both lice and eggswith one application and has residual activity for 10 days. It is applied to the hair after shampooing and left for 10 minutes before rinsing out. The hair should not be shampooed for 24hours after the treatment.Test-Taking Strategy: Use the process of elimination and note the key words,
need for further instruction
. These words indicate a false response question and that you need to select theincorrect client statement. Recalling the treatment for the use of this medication will direct youto option 2. Review this treatment if you had difficulty with this question.Level of Cognitive Ability: ComprehensionClient Needs: Safe, Effective Care Environment