A nurse is planning interventions for a 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 : B,C,D
A. Application of scented lotions – Incorrect. Scented lotions can irritate the skin and should be avoided.
B. Frequent use of sunscreen – Correct. Sunscreen prevents irritation from sun exposure, which can worsen symptoms.
C. Identification of triggers – Correct. Avoiding allergens or irritants that trigger flare-ups is a key management strategy.
D. Use of topical corticosteroids – Correct. Topical corticosteroids help reduce inflammation and itching.
E. Scrubbing of the affected area – Incorrect. Scrubbing can further irritate the skin and worsen symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E","G"]
Explanation
A. Measure abdominal girth – Correct. Measuring abdominal girth helps monitor for signs of obstruction, which is common in Hirschsprung’s disease due to the absence of ganglion cells in the colon.
B. Teach the child deep breathing exercises – Incorrect. Deep breathing exercises are not typically taught to infants or young children undergoing surgery for Hirschsprung’s disease.
C. Assess the child's bowel function with characteristics of stool – Correct. Assessing stool patterns is important since Hirschsprung’s disease is characterized by an absence of peristalsis in the affected bowel.
D. Administer isotonic enema to evacuate bowel – Incorrect. Enemas are contraindicated in Hirschsprung’s disease as they can lead to bowel perforation.
E. Administer an antibiotic as per order – Correct. Preoperative antibiotics are given to prevent infection.
F. Restrict the child's fluid intake – Incorrect. Fluid restriction is not necessary and may worsen dehydration, especially if the child has vomiting or diarrhea.
G. Assess vomiting – Correct. Vomiting can indicate worsening obstruction or enterocolitis, a serious complication of Hirschsprung’s disease.
Correct Answer is D
Explanation
A. "Physical therapy will help me build up enough strength to do gymnastics." – Incorrect. Gymnastics is too high-impact for someone with brittle bones.
B. "I should tell my teachers that I cannot participate in physical education class." – Incorrect. Some low-impact activities may be beneficial, and complete avoidance of activity is not necessary.
C. "I can play sports as long as there is minimal contact with other players." – Incorrect. Even minor trauma can result in fractures, making sports risky.
D. "My bones may break easier than other people's, so I need to take precautions." – Correct. This demonstrates awareness of the condition and the importance of avoiding injury.
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