A nurse is reinforcing education with a caregiver of a pediatric client about diaper dermatitis. Which of the following statements should the nurse make?
"Diaper dermatitis is always associated with an infection."
“Diaper dermatitis requires immediate assessment by a medical provider."
"Diaper dermatitis causes significant long-term impacts."
"Diaper dermatitis will respond to prompt treatment."
The Correct Answer is D
A. "Diaper dermatitis is always associated with an infection." Diaper dermatitis is most commonly caused by prolonged exposure to moisture, urine, or feces, leading to skin irritation. While secondary infections (e.g., Candida albicans) can develop, not all cases are infectious.
B. "Diaper dermatitis requires immediate assessment by a medical provider." Most cases of diaper dermatitis can be managed at home with frequent diaper changes, barrier creams (such as zinc oxide), and keeping the area dry. Medical evaluation is only necessary if the rash worsens, does not improve, or shows signs of infection (e.g., pustules, severe redness, fever).
C. "Diaper dermatitis causes significant long-term impacts." Diaper dermatitis is temporary and does not cause long-term effects when properly treated. Severe, untreated cases may lead to discomfort and secondary infections, but lasting damage is rare.
D. "Diaper dermatitis will respond to prompt treatment." This is correct. Frequent diaper changes, exposure to air, and application of barrier creams typically resolve mild to moderate diaper dermatitis within a few days.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Provide frequent and routine verbal updates with the parents. Regular updates help reduce parental anxiety and build trust between the healthcare team and the family. Keeping parents informed reassures them that their child is receiving appropriate care.
B. Encourage the parents to participate in the toddler's plan of care when appropriate. Involving parents in simple caregiving tasks (e.g., soothing the child, assisting with feedings) fosters a sense of control and connection, easing their distress.
C. Perform more frequent health care rounds on the toddler. Increased monitoring ensures early detection of respiratory complications and reassures parents that their child's condition is being closely managed.
D. Conduct interprofessional rounds at the child's bedside so the parents can be included. Including parents in bedside rounds allows them to hear updates from multiple specialists, ask questions, and feel more engaged in decision-making regarding their child's care.
E. Reinforce education to the parents on all nursing interventions to alleviate added anxiety about tasks they are unfamiliar with. While educating parents is important, overwhelming them with detailed explanations of every intervention may actually increase anxiety rather than alleviate it. Teaching should be concise and tailored to what the parents need to know at the moment.
F. Provide the parents with the nurse's personal cell phone number to contact if they have questions while they are away from the hospital. Personal phone numbers should not be given out for professional and ethical reasons. Instead, parents should be provided with the hospital unit’s contact information for any concerns.
Correct Answer is A
Explanation
A. "Lack of supervision is a big risk factor for burns in children." This is correct. Young children are naturally curious and have limited awareness of danger, making them more prone to thermal injuries. Inadequate supervision increases the risk of burns from hot liquids, open flames, electrical sources, and heated objects.
B. "Microwaved food should sit for 30 seconds before giving to the child." While allowing food to cool is helpful, 30 seconds may not be enough time to reduce the risk of burns. Additionally, caregivers should stir microwaved food thoroughly to distribute heat evenly and test the temperature before feeding the child.
C. "Young children should be kept indoors at all times to prevent sunburns." This is unrealistic and unnecessary. Instead, caregivers should use protective measures such as sunscreen, hats, protective clothing, and shade to prevent sunburn while allowing outdoor activities.
D. "The water heater should be set at 130 degrees Fahrenheit or less." This is incorrect. The recommended maximum water heater temperature is 120°F (49°C) to prevent scald burns. Water at 130°F can cause serious burns within seconds, making it too high for safety.
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