A nurse is preparing a class for parents of infants about managing diaper dermatitis. What advice would the nurse include in the presentation? Select all that apply.
Using scented diaper wipes to clean the area
Refraining from using rubber pants over diapers
Washing the diaper area with an antibacterial soap
Applying topical nystatin to the diaper area
Using a blow dryer on warm to dry the diaper area
Correct Answer : B,D
A. Scented diaper wipes can irritate the sensitive skin of infants and worsen diaper dermatitis; unscented or plain water is preferred.
B. Refraining from using rubber pants over diapers allows the skin to breathe and reduces moisture accumulation, which helps prevent and manage diaper rash.
C. Antibacterial soaps are harsh and can further irritate the skin; gentle cleansing with mild soap and water is recommended.
D. Topical nystatin is appropriate if a fungal infection (Candida) is present, which is common in persistent or severe diaper dermatitis.
E. Using a blow dryer can irritate or burn the infant’s delicate skin; air-drying or gentle patting with a soft cloth is safer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Returning to school solely based on a normal temperature is insufficient because the child can still spread the virus if lesions are not crusted.
B. Waiting until lesions have completely faded is unnecessary; contagion risk ends when lesions are crusted over.
C. The child is considered no longer contagious once all lesions have crusted. At this point, the virus is no longer easily transmitted to others, making it safe to return to school.
D. The timing of 10 days after onset is variable and not a reliable indicator of non-contagiousness, as lesion progression differs among children.
Correct Answer is A
Explanation
A. Rubella (German measles) is a viral infection characterized by a maculopapular rash, making it a classic example of a childhood exanthem. It typically presents with mild fever, lymphadenopathy, and rash, and is most common in children.
B. Rabies is a viral disease transmitted through animal bites and does not cause a generalized rash, so it is not considered an exanthem.
C. Mumps primarily affects the salivary glands, causing parotitis, and does not produce a generalized skin rash.
D. West Nile virus can cause fever and neurological symptoms but is rarely associated with a rash, and it is not classified as a childhood exanthem.
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