Chapter 36 Child Health Nursing Partnering With Children & Families, 3rd Edition

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Chapter 36  Child Health Nursing Partnering With Children & Families, 3rd Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Question 1
Type: MCSA
The nurse is examining a 12-month-old who was brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with bright red, scaly plaques and small papules. Satellite lesions are also present. This is most likely caused by which of the following?
1. Candida albicans (yeast)
2. Impetigo (staph)
3. Infrequent diapering
4. Urine and feces
Correct Answer: 1
Rationale 1: Candida albicans is frequently the underlying cause of severe diaper rash. When a primary or secondary infection with Candida albicans occurs, the rash has bright red, scaly plaques with sharp margins. Small papules and pustules might be seen, along with satellite lesions.
Rationale 2: Even though diaper dermatitis can be caused by impetigo, urine, feces, and infrequent diapering, the lesions and persistent characteristics are common for Candida.
Rationale 3: Infrequent diapering, along with urine and feces, can cause diaper dermatitis, but the persistence and characteristics of the lesions are common for Candida.
Rationale 4: Urine and feces can cause diaper dermatitis, but the persistence and characteristics of the lesions are common for Candida.
Global Rationale:

Cognitive Level: Analyzing
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 36-2

Question 2
Type: MCSA
The school nurse is conducting pediculosis capitis (head lice) checks. Which finding would indicate a “positive” head check?
1. White, flaky particles throughout the entire scalp region
2. Lesions on the scalp that extend to the hairline or neck
3. Maculopapular lesions behind the ears
4. Silver/white sacs attached to the hair shafts in the occipital area
Correct Answer: 4
Rationale 1: Lice and nits must be distinguished from dandruff, which appears as white, flaky particles.
Rationale 2: Lesions might be present from itching, but the positive sign of head lice is evidence of nits.
Rationale 3: Lesions might be present from itching, but the positive sign of head lice is evidence of nits.
Rationale 4: Evidence of pediculosis capitis includes silver/white sacs (nits) that are attached to the hair shafts, frequently in the occiput area.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 36-2

Question 3
Type: MCSA
The 10-year-old child is admitted to the hospital following an accident at school that resulted in a puncture wound of the abdomen. Two days after the injury, the child continues in the inflammation phase of healing. What would the nurse expect to see while changing the child’s dressing and assessing the wound?
1. The wound is contracting, and the edges are growing together.
2. A blood clot has formed, sealing the wound.
3. Epithelial cells are growing into the wound.
4. The wound is pale and weepy.
Correct Answer: 2
Rationale 1: Wound contraction and inward movement of the wound edge occur during the reconstruction phase of wound healing.
Rationale 2: Clot formation to seal the wound with fibrin and trapped cells and platelets occurs during the inflammation phase of wound healing, in the first three to five days.
Rationale 3: Epithelial cells growing into the wound occurs in the reconstruction phase of wound healing.
Rationale 4: During the initial phase of healing, there is increased blood flow, giving the area an “inflamed” appearance.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 36-3

Question 4
Type: MCMA
A child had an appendectomy and was discharged home at 48 hours postoperative. A week later the child is readmitted for delayed wound healing. Which causes of delayed wound healing will the nurse review prior to assessing the child?
Standard Text: Select all that apply.
1. Infection
2. Predisposing chronic condition, such as diabetes
3. Hypervolemia
4. Inadequate nutrition
5. Hypoxemia
6. Corticosteroid therapy
Correct Answer: 1,2,4,5,6
Rationale 1: Infection can affect healing and cause excessive scarring.
Rationale 2: Conditions such as diabetes affect circulating blood volume and are known to affect healing.
Rationale 3: Hypovolemia, not hypervolemia, would inhibit inflammation due to low circulating blood volume.
Rationale 4: Poor nutrition without proper protein and calorie intake will affect healing.
Rationale 5: Hypoxemia makes tissues susceptible to infection due to insufficient oxygenation.
Rationale 6: Corticosteroid therapy or other immunocompromising therapy will prevent macrophages from migrating to the site of injury and suppress epithelialization.
Global Rationale:

Cognitive Level: Applying
Client Need:
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 36-3

 

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