The nurse is examining a 12-month-old who was brought to the ...

[Hungry!]

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. Impetigo (staph)
  2. Candida albicans (yeast)
  3. Urine and feces
  4. Infrequent diapering

Question 2

The nurse is teaching a group of adolescents about care for acne vulgaris. The nurse should include (Select all that apply.)
 
  1. wash skin with mild soap and watertwice a day.
  2. use astringents and vigorousscrubbing.
  3. avoid picking or squeezing thelesions.
  4. apply tretinoin (Retin-A) liberally.
  5. avoid sun exposure if on tetracycline.

[chreslie]

Answer to Question 1

Answer:2
Rationale: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 pustulesmay be seen,along with satellite lesions.Even though diaper dermatitis can be caused by impetigo,urine and feces,and infrequent diapering,the lesions and persistent characteristics are common for Candida.

Answer to Question 2

Answer:1,3,5
Rationale: The adolescent should be taught to wash skin with mild soap and water twice a day,to avoid picking or squeezing acne lesions,and to avoid sun exposure if on tetracycline.Using astringents and scrubbing vigorously can exacerbate acne. Tretinoin (Retin-A) should be applied sparingly (pea-size doses).