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. "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.
Correct Answer is D
Explanation
A. Reschedule the procedure until the client's guardian provides written consent: In most states, adolescents have the legal right to consent to reproductive health services, including contraception. Guardian consent is not required for IUD insertion.
B. Call the adolescent's guardian to obtain verbal consent prior to the procedure: Involving a guardian without the adolescent’s permission breaches confidentiality. Reproductive health decisions are protected for adolescents, and verbal consent from a guardian is unnecessary.
C. Encourage the adolescent to wait to ask questions about the device until after its insertion: It is essential for the adolescent to receive complete education and have all questions answered before the procedure. Informed consent cannot be obtained after the procedure has already been done.
D. Witness the adolescent's signature on the consent form: Adolescents can legally provide consent for contraception. The nurse’s role is to witness the signature, ensuring the adolescent understands the procedure and that the consent is voluntary.
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