A nurse is caring for an infant who has diaper dermatitis. What is an appropriate action for the nurse to take when caring for this client?

Wash off the barrier cream with each diaper change.

Cloth diapers are recommended to manage this disorder.

Apply a light layer of talcum powder with each diaper change.

Expose the excoriated area to air frequently.

Answer and Explanation

The Correct Answer is D

A. Barrier creams should not be washed off with each diaper change; they should be left intact to protect the skin.

B. Cloth diapers can sometimes exacerbate diaper dermatitis due to moisture retention; disposable diapers may be better at wicking moisture away from the skin.

C. Talcum powder is not recommended due to the risk of inhalation, which can cause respiratory issues in infants.

D. Exposing the excoriated area to air frequently allows the skin to dry out, reducing moisture and irritation, which is beneficial in managing diaper dermatitis.

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Correct Answer is D

Explanation

A. While explaining discharge instructions is important, it is not the immediate priority following cast application.

B. Educating the client to elevate the leg is important to reduce swelling, but it is not the first priority.

C. Administering pain relief is necessary, but assessing circulation, sensation, and movement is more critical to identify any early signs of complications.

D. Performing a neurovascular assessment is the priority action because it ensures that there is no compromise to blood flow, sensation, or movement in the affected limb, which could indicate complications such as compartment syndrome.

A. Limited range of motion in the affected hip B. Symmetry of the gluteal skinfolds when the infant is placed prone and the legs are extended C. Negative Barlow test D. Unaffected leg is pale and cool

Correct Answer is A

Explanation

A. Developmental dysplasia of the hip (DDH) often presents with a limited range of motion in the affected hip, particularly in abduction.

B. Asymmetry of the gluteal skinfolds, not symmetry, is a typical finding in DDH. This asymmetry is due to the improper alignment of the hip joint.

C. A positive Barlow test, where the hip can be dislocated by adduction and posterior pressure, is indicative of DDH. A negative Barlow test would suggest the absence of DDH.

D. A pale and cool leg is not a common finding in DDH. This would be more indicative of a circulatory problem, not hip dysplasia.

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A nurse is caring for an infant who has diaper dermatitis. What is an appropriate action for the nurse to take when caring for this client?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. What is the priority action for the nurse to take following this treatment?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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