Author Question: The nurse observes a red butterfly-shaped rash that spreads across the child's cheeks and nose. This ... (Read 56 times)

RRMR · **on:** Jun 27, 2018

The nurse observes a red butterfly-shaped rash that spreads across the child's cheeks and nose. This assessment finding is characteristic of which condition?

a. Systemic lupus erythematosus (SLE)
b. Rheumatic fever
c. Kawasaki disease
d. Anaphylactic reaction

Question 2

The nurse evaluating the amount of lochia on a newly delivered patient knows that a moderate amount of flow constitutes a 4- to 6-inch stain on the peripad. Is this statement true or false?

Indicate whether the statement is true or false

kxciann · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
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A A red, flat or raised malar butterfly rash over the cheeks and bridge of the nose
is a clinical manifestation of SLE.
B A major manifestation of rheumatic fever is erythema marginatum, which
appears as red skin lesions spread peripherally over the trunk.
C An erythematous rash, induration of the hands and feet, and erythema of the
palms and soles are manifestations of Kawasaki disease.
D Initial symptoms of anaphylaxis include severe itching and rapid development of
erythema.

Answer to Question 2

T
Since estimating the amount of lochia is difficult, nurses frequently record flow by
estimating the amount of lochia in 1 hour using the following labels:
Scantless than a 1-inch stain on the peripad
Lighta 1- to 4-inch stain
Moderatea 4- to 6-inch stain
Heavysaturated peripad
Excessivesaturated peripad in 15 minutes
Determining the time interval that the peripad is in place is also important. Lochia is less
for women who have had a cesarean birth since some of the endometrial lining is removed
during surgery.