A nurse is planning care for a child with atopic dermatitis.
Which goal is most important?
Limit fluid intake.
Promote peeling of dead skin.
Maintain skin integrity and prevent infection.
Use alcohol-based lotions.
The Correct Answer is C
Choice A rationale
Limiting fluid intake is generally not indicated for atopic dermatitis unless there is a specific comorbid condition warranting fluid restriction. Maintaining adequate hydration is usually encouraged for overall skin health.
Choice B rationale
Promoting peeling of dead skin is not a primary goal in managing atopic dermatitis. The focus is on reducing inflammation, relieving itching, and maintaining skin hydration and barrier function, not necessarily on exfoliation.
Choice C rationale
Maintaining skin integrity and preventing infection are the most important goals in the care of a child with atopic dermatitis. The chronic inflammation and itching can lead to skin breakdown, increasing the risk of secondary bacterial or viral infections. Nursing interventions focus on gentle skin care, emollients, and managing itching.
Choice D rationale
Alcohol-based lotions should be avoided in children with atopic dermatitis as alcohol can dry and irritate the skin, exacerbating the condition and impairing skin integrity. Emollients that are fragrance-free and hypoallergenic are preferred to maintain skin hydration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The epidermis is the outermost layer of the skin, providing a protective barrier against the external environment. A first-degree burn, characterized by redness and pain without blisters, affects only this superficial layer. The heat causes vasodilation in the dermal blood vessels beneath the epidermis, resulting in the visible redness.
Choice B rationale
The dermis is the layer of skin beneath the epidermis, containing structures like hair follicles, sweat glands, and nerve endings. Second-degree burns extend into the dermis, causing damage to these structures and leading to blister formation due to fluid leakage from damaged blood vessels within this layer.
Choice C rationale
The subcutaneous tissue (hypodermis) is the deepest layer of the skin, composed mainly of fat and connective tissue. Third-degree or full-thickness burns extend into this layer, damaging or destroying it along with the epidermis and dermis.
Choice D rationale
Muscle tissue lies beneath the subcutaneous tissue and is not typically directly affected in a superficial burn that only causes redness without blisters. Burns that reach muscle tissue are very deep and would present with significant tissue damage and likely charring.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
Ensuring suction equipment is readily available is crucial for a child with a history of seizures because they are at an increased risk of aspiration during or immediately following a seizure. Suctioning helps to clear the airway of saliva, vomitus, or other secretions, preventing respiratory complications.
Choice C rationale
Padding the side rails of the child's bed provides a protective barrier against injury during a seizure. Tonic-clonic seizures involve sudden, uncontrolled muscle contractions that can cause the child to hit the side rails, potentially leading to bruising or more serious injuries. Padding helps to cushion these impacts.
Choice D rationale
Educating parents on how to administer rectal diazepam for breakthrough seizures at home empowers them to manage prolonged or clustered seizures promptly. Rectal diazepam is a benzodiazepine medication that can effectively stop a seizure, reducing the risk of status epilepticus, a medical emergency.
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