A nurse is contributing to the plan of care for a 7-year-old client who has atopic dermatitis, Which of the following interventions should the nurse prioritize for controlling manifestations of the condition? (Select All that Apply.)
Application of scented lotions
Frequent use of sunscreen
Identification of triggers
Use of topical corticosteroids
Scrubbing of the affected area
Correct Answer : C,D
A. Application of scented lotions. Scented lotions often contain fragrances and chemicals that can irritate the skin, worsening atopic dermatitis. Fragrance-free, hypoallergenic moisturizers should be used instead.
B. Frequent use of sunscreen. While sun protection is important, some sunscreens contain chemicals that may trigger irritation in children with atopic dermatitis. Mineral-based sunscreens (zinc oxide or titanium dioxide) are a better choice.
C. Identification of triggers. Common triggers include allergens (pollen, pet dander), irritants (soaps, detergents), weather changes, and certain foods. Identifying and avoiding triggers helps prevent flare-ups.
D. Use of topical corticosteroids. Low-to-moderate potency topical corticosteroids are the first-line treatment for controlling inflammation and reducing itching during flare-ups.
E. Scrubbing of the affected area. Scrubbing can damage the skin barrier, increase irritation, and worsen symptoms. Gentle cleansing with mild, fragrance-free cleansers is recommended instead.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A 3-year-old toddler who aspirated several sunflower seeds and continues to cough with an O₂ saturation of 91%. This child is the highest priority due to the risk of airway obstruction. Persistent coughing and decreased oxygen saturation suggest partial obstruction, which could worsen. Immediate assessment and intervention are necessary to prevent respiratory distress or complete airway blockage.
B. A 6-year-old child admitted with asthma exacerbation who used a rescue inhaler 16 hours ago. While asthma exacerbations can be serious, this child is currently stable since there is no indication of respiratory distress or worsening symptoms requiring immediate intervention.
C. A 15-year-old adolescent who had a laparoscopic appendectomy 30 hours ago, rates their pain a 3 on a scale of 1 to 10, and is preparing for discharge this morning. This client is stable, with mild pain and no reported complications. They do not require immediate attention.
D. An 18-month-old admitted for dehydration 2 days ago who has had six wet diapers in the last 24 hours and ate 90% of their meals. This child's hydration status appears to be improving, with adequate urine output and good oral intake, making them a lower priority compared to a child with respiratory compromise.
Correct Answer is D
Explanation
A. Pyloric stenosis. Pyloric stenosis is a condition that affects infants, causing projectile vomiting due to the narrowing of the pyloric sphincter. It is not a complication of appendicitis and is unrelated to this child's condition.
B. Celiac disease. Celiac disease is an autoimmune disorder triggered by gluten consumption, leading to malabsorption and gastrointestinal symptoms. It is a chronic condition and is not associated with appendicitis or its complications.
C. Gastroenteritis. Gastroenteritis involves inflammation of the stomach and intestines, usually due to viral or bacterial infection. While it can cause abdominal pain, it is not a direct complication of appendicitis but rather a separate condition with similar symptoms.
D. Peritonitis. Peritonitis is the most serious complication of appendicitis and occurs when the inflamed appendix ruptures, leading to infection of the peritoneal cavity. It presents with severe abdominal pain, fever, rigidity, and signs of systemic infection, requiring urgent medical intervention.
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