A 21-month-old boy presents to the nurse practitioner with a suspected case of acute atopic dermatitis. Which of the following statements by the child’s mother demonstrates a need for further education about her son's diagnosis?
"I will make sure to avoid his triggers to prevent flare-ups."
"I will maintain a daily skin care routine that will prevent his skin from drying out."
"I will make sure he wears wool, not cotton, garments."
"When he has a flare-up, I will give him bleach baths to prevent bacterial superinfections on his skin."
The Correct Answer is C
Choice A reason: Avoiding triggers is an important preventative measure in managing atopic dermatitis and demonstrates appropriate understanding.
Choice B reason: Maintaining daily skin care routines with emollients helps prevent dryness and flare-ups, which is consistent with proper management.
Choice C reason: Wool is an irritant and can exacerbate atopic dermatitis. The patient should wear soft, breathable fabrics like cotton. This statement shows a misunderstanding and the need for further education.
Choice D reason: Bleach baths may be recommended in diluted forms during flare-ups to reduce bacterial colonization, so this reflects accurate management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: High BMI is generally protective against fractures because increased body mass provides mechanical loading that strengthens bones.
Choice B reason: Female sex is a recognized risk factor due to lower peak bone mass and postmenopausal estrogen deficiency.
Choice C reason: Smoking accelerates bone loss and increases fracture risk by impairing bone formation and calcium absorption.
Choice D reason: Excessive alcohol intake is detrimental to bone health and increases fracture risk through multiple mechanisms including falls and bone metabolism impairment.
Correct Answer is C
Explanation
Choice A reason: This response is fear-based and could increase the client’s anxiety and resistance rather than foster understanding.
Choice B reason: This is coercive and does not respect client autonomy, potentially reducing therapeutic engagement.
Choice C reason: This is correct. It educates the client about the role of avoidance in maintaining PTSD symptoms, promoting insight and motivation for therapy without coercion.
Choice D reason: While reassuring, this minimizes the client’s concerns and does not provide education about symptom maintenance or avoidance behaviors.
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