NCLEX-RN PEDIATRICS REVIEW
NCLEX-RN - HEALTH PROMOTION & MAINTENANCE – PEDIATRICS
Integumentary Disorders: Impetigo
This highly contagious bacterial infection of the skin is caused by beta-hemolytic streptococci,
Staphylococcus aureus, or both.
The most common sites are around the mouth, the hands, the neck, and the extremities.
Assessment findings include:
◦ Vesicles or pustules surrounded by edema and redness
◦ Lesions weeping cloudy serous fluid
◦ Honey-colored crusts
◦ Pruritus and burning
Nursing Considerations
◦ Use contact precautions and stress the need for such precautions at home.
◦ Allow lesions to air dry.
◦ Teach the parents to apply antibiotic ointments and explain that the infection is communicable for 48
hours after antibiotic ointment treatment is begun.
◦ Tell the parents that the child must use separate towels, linens, and dishes.
◦ Explain to the parents that the child's linens and clothing should be washed separately with detergent
in hot water.
Pediculosis capitis Infestation (Head Lice)
NCLEX-RN - HEALTH PROMOTION & MAINTENANCE – PEDIATRICS
Integumentary Disorders: Impetigo
This highly contagious bacterial infection of the skin is caused by beta-hemolytic streptococci,
Staphylococcus aureus, or both.
The most common sites are around the mouth, the hands, the neck, and the extremities.
Assessment findings include:
◦ Vesicles or pustules surrounded by edema and redness
◦ Lesions weeping cloudy serous fluid
◦ Honey-colored crusts
◦ Pruritus and burning
Nursing Considerations
◦ Use contact precautions and stress the need for such precautions at home.
◦ Allow lesions to air dry.
◦ Teach the parents to apply antibiotic ointments and explain that the infection is communicable for 48
hours after antibiotic ointment treatment is begun.
◦ Tell the parents that the child must use separate towels, linens, and dishes.
◦ Explain to the parents that the child's linens and clothing should be washed separately with detergent
in hot water.
Pediculosis capitis Infestation (Head Lice)
