A nurse is caring for a 7-year-old child who has a urinary tract infection (UTI)

Exhibits

The nurse is planning care for the client.

For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.

A. Keeping the child’s nails trimmed and filed helps prevent excessive scratching that can lead to skin infections and worsening of dermatitis. It reduces the risk of injury to the skin and minimizes the potential for secondary infections from scratching.
B. This is a key recommendation for managing atopic dermatitis. Emollients (moisturizers) should be applied immediately after bathing to help lock in moisture and prevent the skin from becoming dry, which can exacerbate the condition. Moisturizing regularly helps to soothe the skin and reduce itching.
C. Applying gloves or mittens can be helpful in preventing the child from scratching and irritating the skin. This is especially useful at night to minimize scratching while the child is asleep.
D. Using a mild, fragrance-free detergent is important to prevent irritation of the skin. Harsh chemicals and fragrances in regular detergents can exacerbate atopic dermatitis and irritate sensitive skin.
E. It is realistic to inform the guardian that atopic dermatitis is a chronic condition with potential flare- ups. Understanding that flare-ups are a normal part of the condition can help the guardian manage expectations and better cope with the condition over time.
F. Atopic dermatitis is not contagious. It is an allergic condition related to immune system dysfunction and genetic factors, not an infectious disease. Therefore, it cannot be spread to others.
G. While pimecrolimus cream is an effective treatment for atopic dermatitis, it should be applied according to the provider's instructions, which generally involve applying a thin layer rather than a thick layer. Overapplication can lead to potential side effects or diminished effectiveness.

A. Toddlers are typically moving towards independence, not increased dependency. This is a stage of exploration and asserting their autonomy.
B. Toddlers are known for their intense emotions and rapid mood swings. This is a normal part of their development.
C. While toddlers can be unpredictable, they often thrive on routines. However, they also enjoy exploring new things, which can sometimes lead to resistance to established routines.
D. The "terrible twos" is a common phrase for a reason. Toddlers often assert their independence through negative responses, such as saying "no" or throwing tantrums.