A 7-year-old child is brought to the clinic with a circular, erythematous lesion on the forearm that has raised borders and central clearing. The area is pruritic. The nurse suspects tinea corporis (ringworm). For each nursing action, indicate whether the action is Appropriate or Not Appropriate.
Explanation & Rationale
• Instruct parent to apply a topical antifungal medication as prescribed: Topical antifungal medications are the first-line treatment for tinea corporis. Applying the medication consistently for the full course helps eradicate the fungal infection. Proper application reduces the risk of spread to other areas and prevents recurrence. • Cover lesion tightly with an occlusive dressing to promote healing: Occlusive dressings create a moist environment that can promote fungal growth and worsen the infection. Tinea corporis should remain uncovered or loosely covered if necessary, to allow air circulation and drying. • Begin oral antibiotics immediately: Tinea corporis is a fungal infection, not bacterial, so antibiotics are ineffective and unnecessary. Oral antifungals may be indicated only in extensive or refractory cases, but antibiotics do not treat the infection and can contribute to antibiotic resistance. • Educate family to avoid sharing towels, clothing, and sports equipment: Tinea corporis is highly contagious through direct contact or shared items. Educating the family on proper hygiene and avoiding shared items helps prevent transmission to other family members and classmates, which is crucial in controlling outbreaks. • Encourage keeping the area clean and dry: Fungal infections thrive in warm, moist environments. Encouraging the child to keep the affected area clean and dry limits fungal growth, supports healing, and reduces irritation and pruritus.