ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 16 : Health Problems of School Age Children and Adolescents Questions
Question 1 of 5
The school nurse is seeing a child who collected some poison ivy leaves during recess. He says only his hands touched it. What is the most appropriate nursing action?
Correct Answer: C
Rationale: Rinsing with cold running water within 15 minutes neutralizes urushiol, the oil causing poison ivy dermatitis, preventing it from bonding to the skin. Warm water is used after dermatitis develops, Burow's solution treats lesions, and antibacterial soap can spread urushiol by removing skin oils.
Question 2 of 5
A 6-year-old boy with very fair skin will be joining his family during a beach vacation. What should the nurse recommend?
Correct Answer: B
Rationale: Sunscreen with SPF 15 or higher, reapplied every 2-3 hours and after water exposure, protects fair skin from UV damage. Avoiding the beach is impractical, a single SPF 30 application is insufficient, and long clothing with an umbrella is less practical than sunscreen.
Question 3 of 5
The management of a child who has just been stung by a bee or wasp should include applying what?
Correct Answer: A
Rationale: Cool compresses reduce swelling and pain from bee or wasp stings. Antibiotic cream is unnecessary unless infection occurs, warm compresses are not recommended, and corticosteroid cream is not part of initial treatment unless a severe reaction occurs.
Question 4 of 5
A parent calls the clinic nurse because his 7-year-old child was bitten by a black widow spider. What action should the nurse advise the parent to take?
Correct Answer: C
Rationale: Black widow spider venom is neurotoxic, requiring emergency treatment with antivenin and possibly muscle relaxants. Warm compresses spread the venom, black widows lack stingers, and corticosteroid cream is ineffective against the venom.
Question 5 of 5
A school-age child has been bitten on the leg by a large snake that may be poisonous. During transport to an emergency facility, what should the care include?
Correct Answer: B
Rationale: Immobilizing the leg with a splint minimizes venom spread by reducing movement. Ice reduces blood flow, potentially trapping venom, a tourniquet should be proximal if used, and warm compresses increase circulation, spreading the venom.