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    NURS 227 Pediatric Nursing Proctored Exam

    Child A 10am: 4-year-old presents with honey-colored crusted lesions around the nose and mouth Mild itching Lesions are superficial and moist BP 100/60, HR 107, RR 22, Temp 98.7 (37C), 98% SpO2 Child B 10am: 6-year-old presents with a warm, swollen area on the lower leg Erythema within lines of demarcation Complains of pain BP 96/54, HR 154, RR 28, T101.5F (38.6 C), 98% Sp02 Patient is sleepy but arousable Indicate the illnesses that these pediatric patients are likely experiencing

    Explanation & Rationale

    • Child A: The child presents with superficial, moist, honey-colored crusted lesions around the nose and mouth, which are classic signs of impetigo. Mild itching is also common, and vital signs are normal, indicating no systemic involvement. Impetigo is a superficial bacterial skin infection, usually caused by Staphylococcus aureus or Streptococcus pyogenes, that affects the epidermis and is highly contagious. • Child B: This child presents with a warm, swollen, erythematous area with clear lines of demarcation on the lower leg, accompanied by pain, fever (101.5°F), and tachycardia. These findings indicate cellulitis, a deeper bacterial infection of the dermis and subcutaneous tissue. Systemic signs such as fever and elevated heart rate are common, reflecting inflammatory response to infection. Early recognition is important to prevent complications like abscess formation or sepsis.

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