A child has been hospitalized with a severe case of impetigo ...

[Bob-Dole]

A child has been hospitalized with a severe case of impetigo contagiosa. What antibiotic(s) should the nurse expect to be prescribed?
 
  1. Dicloxacillin (Pathocil)
  2. Rifampin (Rifadin)
  3. Sulfamethoxazole and trimethoprim (Bactrim)
  4. Metronidazole (Flagyl)

Question 2

A nurse is assessing a pressure ulcer in a pediatric client. The ulcer appears as a deep crater into the subcutaneous tissue, but does not extend to the adjacent muscle, bone, or supporting tissue.
 
  As what stage would this nurse classify the ulcer? 1. Stage 1
  2. Stage 2
  3. Stage 3
  4. Stage 4

[Laurenleakan]

Answer to Question 1

1
Rationale:
1. A systemic antibiotic will be given for severe impetigo because it is a bacterial infection. Dicloxacillin is used in treatment of skin and soft tissue infections. It is specific for treating staphylococcal infections.
2. Rifampin is an antitubercular agent.
3. Sulfamethoxazole and trimethoprim are used as a prophylaxis against Pneumocystis carinii pneumonia (PCP)
4. Metronidazole is used to treat anaerobic and protozoal infections.

Answer to Question 2

3
Rationale:
1. This is a Stage 3 ulcer. Stage 1 is nonblanchable erythema of intact skin that does not resolve within 30 minutes of pressure relief. Stage 3 is a full-thickness injury through the dermis and into the subcutaneous tissue; a deep crater with or without undermining of adjacent tissue.
2. This is a Stage 3 ulcer. Stage 2 is a partial-thickness injury, such as a blister, involving the epidermis or partly into the dermis. Stage 3 is a full-thickness injury through the dermis and into the subcutaneous tissue; a deep crater with or without undermining of adjacent tissue.
3. This is a Stage 3 ulcer. Stage 3 is a full-thickness injury through the dermis and into the subcutaneous tissue; a deep crater with or without undermining of adjacent tissue.
4. This is a Stage 3 ulcer. Stage 4 involves extensive tissue destruction through the subcutaneous tissue and fascia that can extend to the muscle, bone, or supporting tissues. Stage 3 is a full-thickness injury through the dermis and into the subcutaneous tissue; a deep crater with or without undermining of adjacent tissue.

[Bob-Dole]

Excellent

[Alyson.hiatt@yahoo.com]

Gracias!