Author Question: A child falls on the playground and has a small laceration on the forearm. What should the school ... (Read 41 times)

faduma · **on:** Jun 28, 2018

A child falls on the playground and has a small laceration on the forearm. What should the school nurse do 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 should expect to assess which clinical manifestations in an adolescent with Cushing's syndrome (Select all that apply)?

a. Hyperglycemia
b. Hyperkalemia
c. Hypotension
d. Cushingoid features
e. Susceptibility to infections

ladyjames123 · **Reply #1 on:** Jun 28, 2018

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 does not effectively clean the wound.

Answer to Question 2

ANS: A, D, E
In Cushing's syndrome, physiologic disturbances seen are cushingoid features, hyperglycemia, susceptibility to infection, hypertension, and hypokalemia.