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 need to keep the area exposed to air and direct sunshine."
"You should get an abdominal binder and try to keep the area covered."
"Apply some triple antibiotic ointment to help the dryness and itching."
"Do not wash the area with strong soaps and do not rub the area dry, just pat it dry."
The Correct Answer is D
A. You need to keep the area exposed to air and direct sunshine: Exposing the radiation site to direct sunlight can cause further skin damage, increase the risk of burns, and worsen irritation. The area should be protected from sunlight during and after radiation therapy.
B. You should get an abdominal binder and try to keep the area covered: While covering the area may protect it, using tight or restrictive items like an abdominal binder can cause friction and pressure, potentially worsening skin irritation and impairing circulation.
C. Apply some triple antibiotic ointment to help the dryness and itching: Topical antibiotics are not routinely recommended for radiation skin care unless there is an active infection. Overuse of ointments can sometimes trap moisture, leading to maceration or further skin breakdown.
D. Do not wash the area with strong soaps and do not rub the area dry, just pat it dry: Using mild soap and gently patting the skin dry helps preserve skin integrity by preventing additional irritation and dryness. This approach minimizes trauma to the sensitive irradiated skin and supports healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hematemesis: Vomiting blood is not a typical finding in celiac disease; it usually indicates gastrointestinal bleeding from other causes such as ulcers or esophageal varices. Celiac disease primarily affects nutrient absorption rather than causing direct bleeding.
B. Redcurrant, jelly-like stools: This type of stool is characteristic of intussusception, a condition where part of the intestine telescopes into itself causing obstruction and bleeding. It is unrelated to the malabsorption seen in celiac disease.
C. Increased hemoglobin level: Celiac disease commonly causes malabsorption leading to iron deficiency anemia, which results in decreased hemoglobin levels. An increased hemoglobin level would not be expected because nutrient deficiencies impair red blood cell production.
D. Pale, oily stools: Steatorrhea, characterized by pale, bulky, and oily stools, occurs due to fat malabsorption in celiac disease. This reflects damage to the intestinal villi by gluten, which impairs digestion and absorption of fats and other nutrients. It is one of the hallmark clinical features of celiac disease.
Correct Answer is A
Explanation
A. Wrap the ankle with an elastic bandage: Applying an elastic bandage provides compression, which helps reduce swelling by limiting fluid accumulation in the injured tissues. Compression also supports the ankle and helps prevent further injury.
B. Encourage active exercise of the ankle: Active exercise immediately after a sprain can increase swelling and worsen the injury. Rest and immobilization are essential in the initial phase to promote healing and minimize inflammation.
C. Place the ankle below the level of the heart: Positioning the ankle below heart level promotes blood pooling and increases swelling. Elevation above heart level is recommended to help reduce edema.
D. Apply ice packs directly to the ankle in 60 min intervals: Ice helps reduce swelling and pain, but applying ice directly to the skin can cause tissue damage. Ice packs should be wrapped in a cloth and applied intermittently (usually 15–20 minutes on, then off) to avoid frostbite and skin injury.
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