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","B","E"]
Explanation
A. Bullying. Children with chronic illnesses may be at higher risk of bullying due to visible symptoms, medical devices (e.g., insulin pumps, braces), or frequent absences. Bullying can negatively impact their self-esteem and emotional well-being.
B. Absenteeism. Chronic illnesses often require frequent medical appointments, hospitalizations, or rest periods, leading to increased school absences. This can affect academic performance and social integration.
C. Decreased intelligence quotient (IQ) score. While chronic illness can affect cognitive function in some cases (e.g., severe epilepsy, untreated hypothyroidism), most children with chronic illnesses do not inherently have lower IQ scores. Learning difficulties are more often linked to fatigue, medication side effects, or missed instruction time rather than a direct decrease in intelligence.
D. Behavioral issues toward other students. While some children may struggle with frustration or emotional distress due to their illness, chronic illness does not inherently cause aggressive behavior toward peers. However, emotional regulation difficulties may arise due to stress or anxiety related to their condition.
E. Mental health concerns. Anxiety, depression, and feelings of isolation are common among children with chronic illnesses. They may struggle with self-identity, fear of medical procedures, and social exclusion, increasing the risk of mental health disorders.
Correct Answer is A
Explanation
A. Collect data on physical examination. The first priority in managing a suspected head injury is assessing the adolescent's neurological status, airway, breathing, circulation, and level of consciousness. A physical examination helps determine the severity of the injury and guides further interventions.
B. Administer pain medication to the adolescent. While pain management is important, administering medication before assessing neurological status could mask symptoms of worsening intracranial pressure, making it difficult to monitor changes in the adolescent’s condition.
C. Notify the adolescent's primary care provider. Informing the provider is necessary, but it should be done after an initial assessment to provide accurate information about the adolescent’s condition and guide appropriate interventions.
D. Collect a detailed past medical history. While medical history is valuable, it is not the immediate priority in an emergency. The primary concern is assessing the adolescent’s current condition to determine if there are signs of increased intracranial pressure or other serious complications.
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