A nurse is teaching parents of a child with a nursing diagnosis of pain related to pruritus from skin lesions. Which of the following would the nurse include in the instructions? Select all that apply.
"Bathe the child in lukewarm water and oatmeal."
"Avoid having your child wear cotton clothing."
"Wrap your child up snugly with blankets."
"Have the child press on the itching area instead of scratching it."
"Keep the child's fingernails short."
Correct Answer : A,D,E
A. Oatmeal baths in lukewarm water help soothe irritated skin, reduce inflammation, and relieve itching.
B. Children with pruritic skin conditions should wear loose, breathable cotton clothing; avoiding cotton is incorrect because synthetic fabrics can increase irritation.
C. Wrapping a child snugly can increase heat and sweating, which aggravates itching and discomfort.
D. Encouraging the child to press or pat the itchy area rather than scratch helps prevent skin breakdown and secondary infection.
E. Keeping fingernails short reduces the risk of scratching and causing further damage to the skin.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Nervousness occurs due to terbutaline’s stimulation of beta-adrenergic receptors, which can increase sympathetic activity. This is generally mild and expected, requiring only reassurance and monitoring.
B. Tremors are a common side effect from beta-2 adrenergic stimulation of skeletal muscles. They are usually transient and non-dangerous, not requiring immediate intervention.
C. Dyspnea may indicate pulmonary edema, a potentially life-threatening complication associated with terbutaline therapy, especially if used for prolonged periods or in clients with cardiac or renal compromise. Prompt recognition and immediate reporting to the provider is essential to prevent serious maternal and fetal complications.
D. Headaches may occur due to vasodilation and increased cardiac output, but they are typically mild and self-limiting, not a sign of severe adverse effect.
Correct Answer is C
Explanation
A. Liver involvement (hepatomegaly) can occur in infectious mononucleosis, but bed rest does not prevent liver complications; monitoring liver function is more relevant.
B. Joint involvement is not a typical complication of infectious mononucleosis, so this is not a rationale for bed rest.
C. Splenomegaly is common in infectious mononucleosis, and the enlarged spleen is at risk for rupture, especially with physical activity or trauma. Bed rest is recommended to minimize risk of splenic injury, which can be life-threatening.
D. Neck stiffness (cervical lymphadenopathy) may cause discomfort, but bed rest is not primarily to prevent neck irritation; this is a secondary consideration.
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