The nurse is caring for a school-age child with tinea captitis. ...

[123654777]

The nurse is caring for a school-age child with tinea captitis. The child has open lesions from the disease and has lost hair in the areas affected. Which nursing diagnoses would be a part of this patient's care plan? Select all that apply.
 
  A) Impaired skin integrity
  B) Risk for infection
  C) Disturbed body image
  D) Bathing, self-care deficit
  E) Altered nutrition

Question 2

The nurse is interviewing the mother of a 6-month-old being seen at a well-child visit. The mother reports she has used an over-the-counter topical ointment intended for adults on her child for a skin rash.
 
  What is the most appropriate response by the nurse?
 
  A) This is dangerous so please do not do this again.
  B) Why did you do that instead of contacting your doctor?
  C) Children have thin skin and can absorb medications differently than adults.
  D) How often do you use this medication?

[karlss]

Answer to Question 1

Ans: A, B, C
Tinea is a fungal disease of the skin occurring on any part of the body, in this case the head (scalp, eyebrows, or eyelashes). Since this child has open lesions and hair loss from affected areas, there is impairment of skin integrity (which makes the areas at risk for infection. Body image is disturbed since the hair loss is visible. There is no indication of bathing deficit or altered nutrition.

Answer to Question 2

Ans: C
Children have thinner skin than adults. They will absorb topical medications more rapidly than adults. Medications concentrated for adults should not be used on children. It is important to explain this to the parent. It is confrontational to tell her this is dangerous or to tell her to contact the physician. The frequency of use is information that should be obtained but the education is most important in this scenario.

[123654777]

Excellent

[debra928]

TYSM