A child is diagnosed with streptococcal-based impetigo. After teaching the parents about this condition and its treatment, the nurse determines that the teaching was successful based on which parent statement?

A. We should change the wet to dry dressing on the sores every day is incorrect. While keeping lesions clean is important, impetigo management primarily involves topical or systemic antibiotics, not dressing changes. Daily wet-to-dry dressing changes are not necessary unless prescribed for extensive lesions. B. We need to stop our child from sucking their thumb is partially correct for preventing autoinoculation, but it is not the primary factor in controlling spread or infection. C. The steroids should dry up the sores pretty quickly is incorrect because steroids are not indicated for bacterial impetigo; antibiotics are the mainstay of treatment. Using steroids could worsen infection. D. We need to keep them out of school until lesions are crusted is correct. Impetigo caused by Streptococcus (or Staphylococcus) is highly contagious. Children should remain out of school or daycare until antibiotic therapy is underway and lesions are no longer open or weeping, typically when lesions have crusted over, to prevent spread to other children.