A nurse is providing teaching to a parent of a preschooler client who has eczema. Which of the following Instructions should the nurse include In the teaching?

Dress the child in woolen clothes during cold months.

Encourage the parent to bathe the child daily with hot water and mild soap to keep the skin clean.

Instruct the parent to dress the child in loose-fitting cotton clothing to help prevent irritation.

Suggest to the parent to avoid using any moisturizers on the child's skin to prevent further irritation.

Answer and Explanation

The Correct Answer is C

A.   Woolen clothes may irritate the skin and should be avoided by children with eczema.
B.   Hot water and frequent baths can dry out and irritate the skin, worsening eczema. Lukewarm water is recommended.
C.   Loose cotton clothing helps to minimize irritation and sweating, which can worsen eczema symptoms.
D.   Moisturizers are essential for managing eczema and preventing skin dryness. They should be used regularly.

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Correct Answer is C

Explanation

A. While hydration is important to help with blood flow, pain management takes precedence during an SCD crisis.
B. Oxygen may be necessary in certain cases but is not the priority in the acute pain crisis, where pain control is the primary concern.
C. Pain management is the priority in sickle cell disease (SCD) crisis, as it helps alleviate the intense pain associated with vaso-occlusive events.
D. Antipyretics are not the priority unless the child has a fever. Pain relief is more urgent during a crisis.

Correct Answer is []

Explanation

Absence Seizures:

The infant’s clinical presentation, including shaking of the arms and legs, lack of response to touch or voice, and the brief episodes of unconsciousness (lasting around 5 minutes), is consistent with absence seizures (also known as petit mal seizures). These seizures typically involve brief episodes of altered consciousness with subtle motor activity like shaking or jerking, and the child resumes normal activity afterward. The child’s seizure episodes seem to stop on their own, and the child appears to sleep soundly after the episodes, which further points to absence seizures.

Actions to Take:

Initiate seizure precautions:

Seizure precautions are essential to ensure the infant’s safety during and after a seizure episode. This includes making sure the environment is free from hazards and that the infant is being closely monitored.

Keep infant NPO until they are fully awake and alert:

Keeping the infant NPO (nothing by mouth) is essential to prevent aspiration risk during and after the seizure. Once the infant is fully awake and alert, they can resume normal feeding.

Parameters to Monitor:

Level of consciousness:

Monitoring the infant’s level of consciousness is crucial because the primary concern during absence seizures is the alteration of consciousness. After the seizure, assessing their responsiveness and mental state will help evaluate the resolution of the episode.

Motor ability:

The motor ability should be monitored to check for any residual effects from the seizure, such as weakness or abnormal movements, and to assess for any motor symptoms during the seizure.

Explanation of Incorrect Choices:

Akinetic seizures:

Akinetic seizures involve loss of muscle tone and are often associated with sudden collapse or "drop attacks." This is not consistent with the infant’s symptoms, which include shaking rather than sudden loss of muscle tone.

Tonic-clonic seizures:

Tonic-clonic seizures (grand mal seizures) typically involve both tonic (muscle stiffening) and clonic (jerking) movements with a loss of consciousness. While the infant is having shaking episodes, the description does not indicate the full tonic-clonic presentation.

Focal seizures with impaired awareness:

Focal seizures typically involve abnormal activity in one part of the brain and often manifest with

symptoms localized to one area of the body. This infant’s symptoms are more generalized, with shaking

in the arms and legs, and a lack of response, which aligns better with absence seizures.

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A nurse is providing teaching to a parent of a preschooler client who has eczema. Which of the following Instructions should the nurse include In the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides care to a client who is admitted for a sickle cell disease (SCD) crisis. Which of the following is the priority prescription for the nurse to Implement when providing patient care?

Correct Answer is C

Explanation

Correct Answer is []

Explanation

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