The nurse is examining an infant, age 10 months, who was brought ...

[daltonest1984]

The nurse is examining an infant, age 10 months, who was brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with satellite lesions. What is the most likely cause?
 
  a. Impetigo
  b. Urine and feces
  c. Candida albicans infection
  d. Infrequent diapering

Question 2

What sign/symptom is a major clinical manifestation of rheumatic fever (RF)?
 
  a. Fever
  b. Polyarthritis
  c. Osler nodes
  d. Janeway spots

[janieazgirl]

Answer to Question 1

ANS: C
C. albicans infection produces perianal inflammation and a maculopapular rash with satellite lesions that may cross the inguinal folds. Impetigo is a bacterial infection that spreads peripherally in sharply marginated, irregular outlines. Eruptions involving the skin in contact with the diaper but sparing the folds are likely to be caused by chemical irritation, especially urine and feces, and may be related to infrequent diapering.

Answer to Question 2

ANS: B
Polyarthritis, which is swollen, hot, red, and painful joints, is a major clinical manifestation. The affected joints will change every 1 or 2 days. The large joints are primarily affected. Fever is considered a minor manifestation of RF. Osler nodes and Janeway spots are characteristic of bacterial endocarditis.