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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Related Questions
Correct Answer is ["B","D"]
Explanation
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.
Correct Answer is B
Explanation
A. Assessing the client’s temperature is important to monitor for infection, but it is not the immediate priority.
B. Assessing the fetal heart rate (FHR) pattern is the priority because an amniotomy can trigger cord compression or prolapse, which may compromise fetal oxygenation. Early identification of changes in FHR allows prompt intervention to prevent fetal hypoxia or distress.
C. Observing the color and consistency of the amniotic fluid is important for identifying meconium-stained fluid or infection, but fetal well-being takes precedence.
D. Evaluating for signs of infection such as chills or uterine tenderness is important, but these typically develop hours later; immediate FHR monitoring addresses the most urgent risk.
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