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 A

Explanation

A. Acetaminophen can be used to manage mild discomfort after cardiac catheterization. It is a safe option for pain relief and is commonly recommended for children following the procedure.

B. Bed rest is typically recommended for a shorter duration, often 24 hours, not a full week. Extended bed rest is not usually required unless complications occur.

C. The diet should be advanced as tolerated, but there is no specific requirement to wait 24 hours; this will depend on the child’s recovery and tolerance.

D. Bathing recommendations often include avoiding submerging the site in water, so a tub bath may not be advised for the first few days to prevent infection. Sponge baths might be recommended instead.

A. "Restricting fiber from our child's diet will help absorption of the iron." B. “The medication may cause blood in the stools." C. "Our child's blood count will need to be monitored routinely for several weeks." D. "The medication will be more effective if it is administered with meals."

Correct Answer is C

Explanation

A. Restricting fiber is not necessary; instead, administering vitamin C with iron can enhance absorption.

B. Iron supplements can cause dark stools, but not blood in the stools. Blood in the stools requires further investigation.

C. Routine monitoring of blood counts is crucial to assess the effectiveness of the iron supplementation and to adjust the dosage as needed.

D. Iron supplements are better absorbed on an empty stomach; taking them with meals can reduce their absorption.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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