Author Question: A school nurse assesses a child who has an erythematous circular patch of vesicles on her scalp with ... (Read 39 times)

mckennatimberlake

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A school nurse assesses a child who has an erythematous circular patch of vesicles on her scalp with alopecia and complains of pain and pruritus. Why would the nurse use a Woods lamp?
 
  a. To dry out the lesions
  b. To reduce the pruritus
  c. To kill the fungus
  d. To cause fluorescence of the infected hairs

Question 2

A child has been sent to the school nurse with pruritus and honey-colored crusts on the lower lip and chin. The nurse believes these lesions most likely are:
 
  a. chickenpox.
  b. impetigo.
  c. shingles.
  d. herpes simplex type I.



momtoalll

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Answer to Question 1

ANS: D
Tinea capitis is commonly known as ringworm of the scalp. Microsporum audouinii is the major fungal pathogen. The use of the diagnostic Woods lamp causes the infected hairs to turn a brilliant blue green.

Answer to Question 2

ANS: B
Impetigo is seen at all ages, but is particularly common in children. The crust is honey-colored and easily removed and is associated with pruritus. The disease is highly contagious and spreads by contact.



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