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 B
Explanation
A. "It is okay to blame others for your feelings.": Encouraging blame prevents the child from learning responsibility for their own emotions. Healthy coping strategies involve recognizing feelings and finding constructive ways to manage them.
B. "When you feel angry and overwhelmed, take some deep breaths.": Deep breathing is a relaxation technique that helps calm the nervous system, decrease stress, and improve emotional regulation. This is an effective coping strategy for children experiencing stress.
C. "Take a break from group activities when you are stressed.": While temporary breaks can be helpful, avoiding group activities altogether may lead to isolation and limit social support, which is important in managing stress.
D. "Keep your strong feelings to yourself.": Suppressing emotions can increase stress and may lead to unhealthy coping behaviors. Children should be encouraged to express their feelings safely and seek support when needed.
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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