While working in a pediatric clinic, the nurse cares for a 2-year-old with a diagnosis of impetigo. The nurse teaches the mother how to care for the child, and determines further teaching is needed when the mother states:
1. "I will wash the sore with mild soap to remove crusts."
2. "I will apply bacitracin to the wound and cover it with a bandage."
3. "I will watch the wound carefully and call the doctor if it feels hot."
4. "I will call the doctor if the wound doesn't improve, or gets bigger."
3
Rationale: The mother should avoid touching the wound and should teach other family members to avoid it as well, to prevent the spread of infection. There would be no need for the mother to feel it to determine if it feels hot, but rather she should call the doctor if the wound doesn't improve, gets larger, or spreads to other areas of the body or to another family member. The remaining statements are true.
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