Learning Guide
Nursing Care of the Pediatric Individual with
an Integumentary Disorder
Chapter 49
Review of the Integumentary System:
1. In what ways does the permeability of skin place children at risk?
2. What specific nursing interventions apply to topical medications with children? (See
Pediatric Differences in Skin-
Skin Infections:
IMPETIGO:
3. Describe the assessment findings/appearance of impetigo.
4. What is the causative organism for impetigo?
5. What is the treatment?
a. Topicalb. Systemic6. What information must the nurse include when providing instructions for hygiene and
contagion for this condition?
7. What serious condition occurs as a secondary infection related to impetigo?
ORAL CANDIDIASIS / THRUSH:
8. What is the causative organism of thrush? How does the newborn/infant contract this
condition?
9. What are the signs and symptoms? How would the nurse differentiate between thrush
and milk curds?
10. What are treatment measures? When is the preferred time of medication?
11. What teaching is important to include in preventing reoccurrence?
TINEA:
12. What is the causative organism?
13. What are the signs and symptoms?
14. What are common sites for infection?
15. What are treatment measures? (See Home Care for Child with Tinea on page 1347.)
a. What does the nurse teach regarding pruritus?
b. How long is the treatment regime?
c. When can the child return to school/daycare?
d. What are precautions for transmission?
e. What is important teaching to be included to decrease reoccurrence?
LICE INFESTATION/ PEDICULOSIS:
16. What are characteristic features of head lice?
17. What are the signs and symptoms? What is the most common mechanism of detection?
18. What are important teaching points related to the use of the various pediculicides?
First line pesticide
a. Nix
Second line pesticides
a. Ovide
19. What significant side effect is a priority teaching for infants and young children?
20. What priority teaching must the nurse include to prevent re-infestation?
SCABIES:
21. What is the process of infestation with scabies?
22. What are the signs and symptoms?
23. hat population is most susceptible?
24. Why do treatment measures require a prescription for this type of infestation?
25. What specific teaching must the nurse include regarding the application of the scabicidal
ointment?
26. What is important teaching to be included to decrease transmission to others and reinfestation?
ATOPIC DERMATITIS
27. What is the body’s response to exposure to an external allergen or irritant?
(signs& symptoms of dermatitis)
28. What are common allergens or irritants that affect children?
29. What are important topics for the nurse to include in the care of the child with
dermatitis?
a. Medications (external and oral)b. Comfort measures –
ECZEMA:
30. What is the etiology and pathophysiology of eczema?
31. How does the healthcare provider distinguish between dermatitis and eczema?
32. What factors are included in the diagnostic criteria for eczema?
33. What treatment measures must the nurse include in client/family teaching?
34. What are side effects in the prolonged use of topical corticosteroids particular to young
children?
ACNE:
35. Explain the pathophysiology of acne.
36. Compare the signs and symptoms of the three main types of acne:
a. Comedonal,
b. Papulopustular
c. Cystic
37. What factors seem to precipitate acne?
38. What teaching regarding diet must the nurse include cause acne?
39. The severity of acne lesions is graded with treatment customized to the severity level.
What is the main treatment protocol for each of the severity levels?
40. Compare and contrast medications used in the treatment of acne including action, Side
effects, and nursing care/ patient teaching.
41. What are the significant psychosocial implications for adolescents with severe acne?