A nurse is assisting with admitting an infant who has diaper dermatitis. Which of the following actions should the nurse plan to take? (Select All that Apply.)

Change diapers frequently

Allow the buttocks to air-dry

Use commercial baby wipes that are free of alcohol and fragrances to cleanse the area

Apply zinc oxide ointment to the affected area

Apply talcum powder with every diaper change

Answer and Explanation

Correct Answer : A,B,C,D

A. Change diapers frequently. Frequent diaper changes reduce prolonged contact with moisture, decreasing the risk of dermatitis.
B. Allow the buttocks to air-dry. Air-drying helps to keep the skin dry and allows it to heal, preventing further irritation.
C. Use commercial baby wipes that are free of alcohol and fragrances to cleanse the area. Alcohol and fragrance-free wipes minimize further irritation to the sensitive skin.
D. Apply zinc oxide ointment to the affected area. Zinc oxide creates a protective barrier that helps heal and protect the skin from moisture and irritants.
E. Apply talcum powder with every diaper change. Talcum powder is not recommended as it can be inhaled by the infant and may cause respiratory issues.

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Correct Answer is C

Explanation

A. Constipation: Vaso-occlusive crisis in sickle-cell disease is characterized by severe pain due to ischemia from blocked blood flow, rather than gastrointestinal symptoms like constipation.
B. Vomiting: Vomiting is not typically associated with vaso-occlusive crisis but may occur due to pain or other causes.
C. Pain: Pain is the hallmark symptom of vaso-occlusive crisis in sickle-cell disease, caused by ischemia and tissue damage.
D. Bradycardia: Bradycardia is not a typical finding in vaso-occlusive crisis; instead, tachycardia might be present due to pain or stress.

A. Projectile vomiting after feedings B. Absent bowel sounds C. Increased sodium level D. Golf ball-size mass over the left quadrant

Correct Answer is A

Explanation

A. Projectile vomiting after feedings: Projectile vomiting after feedings, especially occurring a short time after feeding, is a classic sign of pyloric stenosis due to obstruction at the pylorus.
B. Absent bowel sounds: Absent bowel sounds may occur in more advanced cases of bowel obstruction but are not specific to pyloric stenosis.
C. Increased sodium level: Increased sodium level is not typically associated with pyloric stenosis.
D. Golf ball-size mass over the left quadrant: A palpable mass in the left quadrant is not a typical finding in pyloric stenosis.

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A nurse is assisting with admitting an infant who has diaper dermatitis. Which of the following actions should the nurse plan to take? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a child who has sickle-cell disease and is experiencing a vaso-occlusive crisis. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis?

Correct Answer is A

Explanation

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