A nurse is caring for a pediatric client receiving radiation therapy to the abdominal area. Which of the following statements by the nurse promotes proper skin integrity for the client?
"You should get an abdominal binder and try to keep the area covered"
"You need to keep the area exposed to air and direct sunshine."
"Do not wash the area with strong soaps and do not rub the area dry, just pat it dry."
"Apply some triple antibiotic ointment to help the dryness and itching"
The Correct Answer is C
A. "You should get an abdominal binder and try to keep the area covered": Covering the radiation site with binders or tight dressings can cause friction, moisture buildup, and irritation. The skin should be kept clean and protected without unnecessary pressure.
B. "You need to keep the area exposed to air and direct sunshine.": Direct sun exposure can worsen radiation-induced skin damage and increase the risk of burns. The area should be protected from sunlight throughout treatment.
C. "Do not wash the area with strong soaps and do not rub the area dry, just pat it dry.": Gentle skin care helps reduce irritation and maintain skin integrity. Using mild soap and patting the skin dry prevents breakdown, which is the recommended approach during radiation therapy.
D. "Apply some triple antibiotic ointment to help the dryness and itching": Topical ointments should only be used if specifically prescribed, as many products can further irritate radiation-exposed skin. Moisturizers may be recommended, but antibiotic ointments are not routine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Take the child's temperature every 10 min after administering acetaminophen: Monitoring the temperature this frequently is unnecessary and can cause anxiety for both the child and parent. Temperatures should be reassessed every few hours to evaluate medication effectiveness.
B. Wake the child every 4 hr during the night to drink 118.3 mL (4 oz) of apple juice: Rest is crucial for recovery, and children should not be routinely awakened at night for fluids unless directed by a provider. Adequate hydration should be encouraged during waking hours instead.
C. Apply a light blanket if the child begins to shiver: Shivering increases metabolic demand and body temperature. Covering the child lightly during chills helps reduce discomfort without causing overheating, making this an appropriate home care measure.
D. Place ice packs on the child's armpits and groin: Using ice packs can cause vasoconstriction and discomfort without effectively reducing fever. Safer methods include ensuring comfort with lightweight clothing, hydration, and antipyretics as prescribed.
Correct Answer is D
Explanation
A. "I will be excused from physical education class.": Physical activity is actually encouraged in adolescents with cystic fibrosis, as it helps improve lung function, mobilize secretions, and enhance overall health. Avoiding exercise would not support effective disease management.
B. "I will limit my calcium intake to prevent kidney stones.": Children with cystic fibrosis are at risk for osteoporosis due to malabsorption of fat-soluble vitamins and poor bone health, not kidney stones from calcium. Adequate calcium intake is essential for bone strength.
C. "I will take fewer enzymes when I eat high-fat foods.": Pancreatic enzymes should be taken with all meals and snacks, especially those high in fat, to aid in digestion and nutrient absorption. Taking fewer enzymes would worsen malabsorption and nutritional deficiencies.
D. "I will increase my intake of vitamin D.": Fat-soluble vitamin deficiencies, including vitamin D, are common in cystic fibrosis due to malabsorption. Supplementing vitamin D supports bone health and calcium absorption.
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