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 ["C","E"]
Explanation
A. Atrial fibrillation on the cardiac monitor. Rheumatic fever can cause carditis, but atrial fibrillation is not a typical finding. Instead, valvular damage, tachycardia, or murmurs are more commonly observed.
B. Elevated BUN and creatinine on morning laboratory results. Rheumatic fever primarily affects the heart, joints, skin, and brain, not the kidneys. Elevated BUN and creatinine are more indicative of post-streptococcal glomerulonephritis, a separate complication of streptococcal infection.
C. Involuntary movements of extremities. Sydenham’s chorea, characterized by involuntary, jerky movements, is a classic neurologic manifestation of rheumatic fever. It results from inflammation affecting the basal ganglia of the brain.
D. Alopecia. Rheumatic fever does not cause alopecia. Hair loss is more commonly associated with autoimmune diseases such as lupus, not post-streptococcal complications.
E. Report of chest pain. Chest pain can indicate carditis, a major criterion for rheumatic fever. Inflammation of the heart's endocardium, myocardium, or pericardium may lead to pain, murmurs, or heart failure symptoms.
F. Oliguria. Decreased urine output is more commonly seen in post-streptococcal glomerulonephritis rather than rheumatic fever, as rheumatic fever primarily affects the heart, joints, and nervous system.
Correct Answer is B
Explanation
A. An electrical source. Electrical burns often cause deep tissue damage that may not be visible on the surface. These burns can extend beyond the skin, affecting muscles, nerves, and internal organs, making them more severe than partial-thickness burns.
B. Contact with hot liquid. Scald burns from hot liquids (e.g., boiling water, coffee, soup) are a common cause of partial-thickness burns. These burns affect the epidermis and part of the dermis, leading to blistering, redness, and pain.
C. A mild sunburn. Mild sunburns typically cause superficial burns (first-degree burns), affecting only the epidermis and resulting in redness and discomfort without blisters. Partial-thickness burns involve deeper skin layers.
D. Contact with a flame. Direct contact with a flame is more likely to cause deeper burns, often resulting in full-thickness burns (third-degree) rather than partial-thickness burns.
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