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

[Cooldude101]

The nurse is examining 12-month-old Amy, who was brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with satellite lesions that cross the inguinal folds. This is most likely caused by:
 
  a. Impetigo. c. Urine and feces.
  b. Candida albicans. d. Infrequent diapering.

Question 2

A father calls the clinic nurse because his 2-year-old child was bitten by a black widow spider. The nurse should advise the father to:
 
  a. Apply warm compresses.
  b. Carefully scrape off the stinger.
  c. Take the child to emergency department.
  d. Apply a thin layer of corticosteroid cream.

[hugthug12]

Answer to Question 1

ANS: B
Candida albicans infection produces perianal inflammation and a maculopapular rash with satellite lesions that may cross the inguinal folds. Impetigo is a bacterial infection that spreads peripherally in sharply marginated irregular outlines. Eruptions involving the skin in contact with the diaper but sparing the folds are likely to be caused by chemical irritation, especially urine and feces.

Answer to Question 2

ANS: C
The brown recluse spider has venom that is toxic enough to be harmful. The father should take the child to the emergency department for immediate treatment. Warm compresses increase the circulation to the area and facilitate the spread of the venom. The black widow spider does not have a stinger. Corticosteroid cream has no effect on venom.