A school-age child falls on the playground and has a small ...

[rmenurse]

A school-age child falls on the playground and has a small laceration on the forearm. The school nurse should do which to cleanse the wound?
 
  a. Slowly pour hydrogen peroxide over wound.
  b. Soak arm in warm water and soap for at least 30 minutes.
  c. Gently cleanse with sterile pad and a nonstinging povidone-iodine solution.
  d. Wash wound gently with mild soap and water for several minutes.

Question 2

The nurse is taking care of a 2-year-old child with a macule skin lesion. Which clinical finding should the nurse expect to assess with this type of lesion?
 
  a. Flat, nonpalpable, and irregularly shaped lesion that is greater than 1 cm in diameter
  b. Heaped-up keratinized cells, flaky exfoliation, irregular, thick or thin, dry or oily, varied in size
  c. Flat, brown mole less than 1 cm in diameter
  d. Elevated, flat-topped, firm, rough, superficial papule greater than 1 cm in diameter

[Kingjoffery]

Answer to Question 1

ANS: D
Lacerations should be washed gently with mild soap and water or normal saline. A sterile pad is not necessary, and hydrogen peroxide and povidone-iodine should not be used because they have a cytotoxic effect on healthy cells and minimal effect on controlling infection. Soaking the arm will not effectively clean the wound.

Answer to Question 2

ANS: C
A macule is flat; nonpalpable; circumscribed; less than 1 cm in diameter; and brown, red, purple, white, or tan. A patch is a flat, nonpalpable, and irregularly shaped macule that is greater than 1 cm in diameter. Scale is heaped-up keratinized cells, flaky exfoliation, irregular, thick or thin, dry or oily, varied in size, and silver white or tan. A plaque is an elevated, flat-topped, firm, rough, superficial papule greater than 1 cm in diameter. It may be coalesced papules.