Pediatrics Proctored exam
A child has small red macules and vesicles that become pustules around the child's mouth and cheek. Older lesions are crusted and honey-colored. What should the nurse teach the parents about this condition?
Explanation & Rationale
A. Notifying the physician for itching is not necessary unless signs of secondary infection or worsening symptoms occur. B. The child likely has impetigo, a highly contagious bacterial skin infection. Children can return to school 24 hours after starting antibiotic therapy, as the risk of transmission decreases significantly after this period. C. Keeping the child home until lesions are fully healed is unnecessary and can prolong absence from school. Antibiotic treatment effectively reduces contagion before complete healing. D. Vigorous cleaning with Betadine is not recommended, as harsh scrubbing can irritate the skin and worsen the lesions. Gentle cleansing and application of prescribed topical or systemic antibiotics are preferred.
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