Which is the most likely cause for a bright red perianal ...

[Yi-Chen]

Which is the most likely cause for a bright red perianal inflammation with scaly plaques and small papules noted by the nurse during the assessment of a 12-month-old infant?
 
  1. Candida albicans (yeast)
  2. Impetigo (staphylococcus)
  3. Infrequent diapering
  4. Urine and feces

Question 2

Which action by the nurse is appropriate when selecting a cuff to accurately assess blood pressure (BP) on a child?
 
  1. Select based on the labelinfant, child, adult.
  2. Select based on a bladder that covers two thirds of the upper arm and wraps around at least 80 of the arm circumference.
  3. Select based on availability.
  4. Select based on a bladder that covers one fourth of the arm circumference and 50 of the upper arm.

[meganmoser117]

Answer to Question 1

1
Explanation:
1. Candida albicans is frequently the underlying cause of severe diaper rash. When a primary or secondary infection with C. albicans occurs, the rash has bright red, scaly plaques with sharp margins. Small papules and pustules might be seen, along with satellite lesions.
2. Even though diaper dermatitis can be caused by impetigo, urine, feces, and infrequent diapering, the lesions and persistent characteristics are common for Candida infection.
3. Infrequent diapering, along with urine and feces, can cause diaper dermatitis, but the persistence and characteristics of the lesions are common for Candida infection.
4. Urine and feces can cause diaper dermatitis, but the persistence and characteristics of the lesions are common for Candida infection.

Answer to Question 2

2
Explanation:
1. While the label may provide guidance for selecting a BP cuff, this action is not appropriate.
2. This is an accurate measurement to determine cuff size.
3. BP readings will be inaccurately high or low based on whether the cuff is too large or too small.
4. This is incorrect and will result in a cuff that is too small.