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 C
Explanation
A. "Your child will need to receive sedation to minimize pain during the test.": Sedation is not necessary for a sweat chloride test. The test is noninvasive and painless, involving stimulation of sweat glands using a mild electric current.
B. "It will take approximately 3 hours to complete the test.": The entire sweat chloride test usually takes about 1 hour or less, including preparation and collection time. It is a quick procedure, not lasting multiple hours.
C. "Two separate samples will be collected to ensure accuracy of the test results.": Collecting two samples helps confirm the diagnosis, as elevated sweat chloride levels in both are indicative of cystic fibrosis. Repeat testing improves diagnostic reliability.
D. "Your child should avoid eating and drinking 6 hours prior to the test.": Fasting is not required for a sweat chloride test. The child can eat and drink normally before the procedure, as it does not affect the results.
Correct Answer is A
Explanation
A. Nausea: Nausea is a common gastrointestinal side effect of cefazolin, a first-generation cephalosporin. It may also be accompanied by vomiting, diarrhea, or abdominal discomfort. The nurse should monitor for these symptoms and report persistent or severe cases.
B. Hypertension: Cefazolin is not typically associated with elevated blood pressure. Hypertension is not a known adverse effect of this antibiotic, so monitoring blood pressure specifically for this reason is unnecessary unless the child has other risk factors.
C. Increased appetite: Cefazolin does not cause increased appetite. Antibiotics generally do not enhance appetite and may even decrease it due to GI side effects like nausea or dyspepsia.
D. Constipation: Constipation is not a typical side effect of cefazolin. If GI symptoms occur, they are more likely to involve diarrhea or nausea rather than decreased bowel motility.
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