Pediatric Nursing Demystified

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wound or increase systemic levels in children so prescribed schedule
should be followed.


  • Caution parents to use clean gauze or applicator for each area being
    cleaned to avoid spread of debris.

  • Teach parents and child proper hygiene to avoid wound contamina-
    tion or spread of infection from wound.

  • Discuss signs of side effects from medication and signs of wound
    healing complications that should be reported immediately.

  • Discuss acceptable coverings that allow for decreased wound visibility
    without trauma or excess pressure on site because visible skin lesions
    may cause distress for child or adolescent and impact self-esteem
    around peers.


CHAPTER 15/ Integumentary Conditions^331



  1. The nurse would describe a lesion that is a flat brown mole <1 cm in diameter noted
    on a client’s body as a __.
    Answer:

  2. A toddler has a deep laceration contaminated with dirt and sand. Before closing the
    wound, the nurse should irrigate with:
    a. Povidone-iodine
    b. Alcohol
    c. Sterile saline
    d. Hydrogen peroxide
    Answer:


✔ ROUTINE CHECKUP 1


Psoriasis


What Went Wrong?


Psoriasis is a skin overgrowth and flaking of unknown origin that may be triggered
by stress and has a possible hereditary association. Seldom occurs in children
<6 years of age.

Signs and Symptoms


Red skin patches with coarse scales over extremities and trunk, scalp,
and face
Pruritus (itching)
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