A nurse is preparing a teaching plan for the care of a child with infantile eczema.
What interventions would the nurse include? (Select all that apply.)

Bathe the child using products with a light fragrance.

Use oatmeal and baking soda as bath additives.

Add bath oil to bath water after the child has soaked.

Apply lanolin-based lotions after the bath.

Answer and Explanation

Correct Answer : B,C

Choice A rationale

Bathing a child with infantile eczema using products containing fragrance can be irritating to the already compromised skin barrier. Fragrances are common allergens and can trigger or worsen the inflammatory response in atopic dermatitis. It is essential to use fragrance-free, hypoallergenic products to minimize irritation and prevent exacerbations.

Choice B rationale

Using oatmeal and baking soda as bath additives can be soothing for the irritated skin of a child with infantile eczema. Colloidal oatmeal contains avenanthramides which have anti-inflammatory and antioxidant properties, while baking soda can help to relieve itching. These additives can help to calm the skin and reduce the urge to scratch.

Choice C rationale

Adding bath oil to bath water after the child has soaked for a period of time is a beneficial practice. Soaking in water allows the skin to rehydrate. Adding the oil at the end of the bath helps to seal in the moisture, forming a protective barrier and preventing transepidermal water loss, which is a key issue in eczema.

Choice D rationale

Lanolin is a fatty substance derived from sheep wool. While it can be a good moisturizer, it is also a common allergen. Applying lanolin-based lotions to a child with eczema can potentially trigger an allergic reaction or worsen the skin condition. It is safer to use hypoallergenic, non-irritating moisturizers.

Choice E rationale

Bathing a child several times a day can strip the skin of its natural oils, which can worsen the dryness and irritation associated with infantile eczema. The skin barrier is already compromised, and frequent bathing can exacerbate this problem. It is generally recommended to limit bathing to once a day or less to maintain skin integrity. .

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Correct Answer is ["3.5"]

Explanation

Step 1 is to convert the child's weight from pounds to kilograms: 55 lb ÷ 2.2 lb/kg = 25 kg.

Step 2 is to calculate the total daily dosage in milligrams: 7 mg/kg × 25 kg = 175 mg/24h.

Step 3 is to calculate the dosage per dose: 175 mg ÷ 2 doses = 87.5 mg per dose.

Step 4 is to calculate the volume per dose in mL: 87.5 mg ÷ (125 mg/5 mL) = 87.5 mg ÷ 25 mg/mL = 3.5 mL per dose. The final calculated dosage for this child is 3.5 mL per dose.

A. "I nearly always wear comfy sweatpants and house shoes.”. B. "I'm glad I get energy assistance so my house isn't so cold.”. C. "My daughter makes sure I have plenty of lotion for my feet.”. D. "My hands shake when I try to do things requiring coordination.”.

Correct Answer is D

Explanation

Choice A rationale

Wearing comfy sweatpants and house shoes is generally not a barrier to proper foot care. In fact, wearing loose-fitting, comfortable clothing and footwear that does not restrict circulation is beneficial for clients with peripheral vascular disease (PVD). Tight clothing or shoes can impair blood flow, exacerbating the symptoms of PVD and increasing the risk of skin breakdown and ulceration.

Choice B rationale

Receiving energy assistance to keep the house warm is a positive factor for a client with PVD. Cold temperatures cause vasoconstriction, which further reduces blood flow to the extremities. Maintaining a warm environment helps promote vasodilation, improving circulation and reducing the risk of pain, tissue damage, and compromised wound healing.

Choice C rationale

Having plenty of lotion available is a supportive factor for proper foot care. Clients with PVD often have dry, cracked skin due to poor circulation. Using non-alcohol-based lotions can help maintain skin integrity, prevent fissures, and reduce the risk of infection. The daughter’s support facilitates adherence to this aspect of the foot care regimen.

Choice D rationale

Tremors or shaking hands, which indicate a lack of fine motor coordination, pose a significant barrier to proper foot care. This deficit makes it difficult to perform essential tasks such as meticulously inspecting the feet for cuts, blisters, or other injuries, clipping toenails correctly, and applying lotion without causing skin damage. This can lead to missed injuries and delayed treatment.

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A nurse is preparing a teaching plan for the care of a child with infantile eczema. What interventions would the nurse include? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The recommended dosage of phenytoin for a child is 7 mg/kg/24 h given qh. The child's weight is 55 lb. The medication is supplied in 125 mg/5 mL. Calculate the safe and therapeutic dosage for this child.

Correct Answer is ["3.5"]

Explanation

An older client with peripheral vascular disease (PVD) is explaining the daily foot care regimen to the family practice clinic nurse. What statement by the client may indicate a barrier to proper foot care?

Correct Answer is D

Explanation

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A nurse is preparing a teaching plan for the care of a child with infantile eczema.
What interventions would the nurse include? (Select all that apply.)