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Author Question: A pediatric client is hospitalized with a severe case of impetigo contagiosa. Which antibiotic does ... (Read 21 times)

HudsonKB16

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on: Jun 28, 2018
A pediatric client is hospitalized with a severe case of impetigo contagiosa. Which antibiotic does the nurse anticipate the healthcare provider will order for this client?
 
  1. Dicloxacillin (Pathocil)
  2. Rifampin (Rifadin)
  3. Sulfamethoxazole and trimethoprim (Bactrim)
  4. Metronidazole (Flagyl)

Question 2

The nurse is examining a 12-month-old who is brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with bright red scaly plaques and small papules. Satellite lesions are also present.
 
  What is the most likely cause of this client's diaper rash?
  1. Impetigo (staph)
  2. Candida albicans (yeast)
  3. Urine and feces
  4. Infrequent diapering


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otokexnaru

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Reply #1 on: Jun 28, 2018
Answer to Question 1

Correct Answer: 1
Rationale: A systemic antibiotic will be given for severe impetigo because it is a bacterial infection. Dicloxacillin is used in treatment of skin and soft-tissue infections. It is specific for treating staphylococcal infections. Rifampin is an antitubercular agent, sulfamethoxazole and trimethoprim are used as a prophylaxis against Pneumocystis carinii pneumonia (PCP), and metronidazole is used to treat anaerobic and protozoic infections.

Answer to Question 2

Correct Answer: 2
Rationale: Candida albicans is frequently the underlying cause of severe diaper rash. When a primary or secondary infection with Candida albicans occurs, the rash has bright red scaly plaques with sharp margins. Small papules and pustules may be seen, along with satellite lesions. Even though diaper dermatitis can be caused by impetigo, urine and feces, and infrequent diapering, the lesions and persistent characteristics are common for Candida.


HudsonKB16

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Reply #2 on: Jun 28, 2018
Correct answers!


otokexnaru

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Reply #3 on: Jun 28, 2018
Great! Please up vote :D


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