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?
"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."
"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."
The Correct Answer is A
A. "Do not wash the area with strong soaps and do not rub the area dry, just pat it dry." Radiation therapy can cause skin irritation and dryness. Using mild soap, lukewarm water, and gently patting the area dry helps prevent further irritation and promotes skin integrity.
B. "Apply some triple antibiotic ointment to help the dryness and itching." Antibiotic ointments are not recommended unless there is an infection. Instead, radiation patients should use gentle, fragrance-free moisturizers as directed by their provider.
C. "You should get an abdominal binder and try to keep the area covered." Tight or restrictive clothing can further irritate the skin and increase the risk of breakdown in the radiation-exposed area.
D. "You need to keep the area exposed to air and direct sunshine." Direct sun exposure can worsen radiation burns and should be avoided. The skin in the treated area is more sensitive to UV rays and at a higher risk for damage.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Mucosal ulceration – This is an acute side effect of radiation therapy, not a late adverse effect.
B. Nausea – Nausea is a short-term side effect that occurs during or shortly after radiation therapy.
C. Desquamation – Skin peeling (desquamation) is a common acute reaction to radiation but is not considered a late effect.
D. Short stature – Radiation therapy in young children can affect growth, particularly if the brain or spine is irradiated. Damage to the pituitary gland can lead to growth hormone deficiency, resulting in delayed growth and short stature, which are considered late effects of radiation therapy.
Correct Answer is A
Explanation
A. "Wear a face mask when working within 3 feet of a child who is infected." Influenza spreads through droplets, so wearing a face mask within 3 feet of an infected child helps prevent transmission.
B. "Administer antibacterial medication within 24 hr of the onset of symptoms." Influenza is caused by a virus, not bacteria, so antibacterial medications (antibiotics) are not effective. Antiviral medications (e.g., oseltamivir) may be given within 48 hours of symptom onset.
C. "Children should be considered infectious for 14 days after the onset of symptoms." . Children with influenza are most contagious 1 day before symptoms appear and up to 5 to 7 days after onset.
D. "Administer the influenza vaccine every 6 months." The influenza vaccine is given annually (once per year), not every 6 months.
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