Pediatric Nursing Demystified

Explain that lesions often heal without scaring if no secondary infection

occurs.

Teach child and family to apply ointment and compress as ordered.

(^336) Pediatric Nursing Demystified

1. Impetigo, without secondary infection, ordinarily results in which of the following?
   a. No scarring
   b. Keloid scars
   c. Atrophic scars
   d. Depressed scars
   Answer:


2. Explain why Lyme disease is not a contagious from one child to another.
   Answer:

✔ ROUTINE CHECKUP 2

Burn Injury

What Went Wrong?

Burns are injuries to the skin caused by heat, friction, radiation, chemicals, or

electricity. Damage to skin varies based on intensity of exposure (degree of

heat, radiation, etc.), length of exposure, and source of burn. Burns may be

described based on level of penetration ranging from superficial burn (first

degree) impacting the epidermis to a deeper burn (second degree/partial thick-

ness) impacting the dermis to a severe burn (third degree/full thickness) that

penetrates through all layers of skin to the underlying subcutaneous tissue/fat.

The most severe fourth-degree burns, also called full thickness, involve under-

lying muscle, fascia, and bone. Burns are also categorized by the amount of

surface area impacted with children experiencing greater distress than adults

with the same percentage of surface area damage.

Children <10 years of age most commonly experience flame injury from

playing with fire (such as playing with matches or cigarette lighters) or scald

injury (burn from hot liquid) secondary to hot water in bathtub by error or

due to child abuse. Adolescents commonly experience flame or electrical burn

injury secondary to high-risk behavior such as dealing with fireworks or

climbing utility poles.

1