A patient developed a severe contact dermatitis of the hands, arms, and lower legs after spending an afternoon picking strawberries. The patient states that the itching is severe and cannot keep from scratching. Which instruction will be helpful in managing the pruritus?
Trim the fingernails short to prevent skin damage from scratching.
Use cool, wet dressings and baths to promote vasoconstriction.
Expose the areas to the sun to promote drying and healing of the lesions.
Wear cotton gloves and cover all other affected areas with clothing to prevent environmental irritation.
The Correct Answer is B
A. Trim the fingernails short to prevent skin damage from scratching. While this is good advice to prevent further skin damage, it does not directly address the itching.
B. Use cool, wet dressings and baths to promote vasoconstriction. Cool, wet dressings and baths can help soothe itching and reduce inflammation by promoting vasoconstriction.
C. Expose the areas to the sun to promote drying and healing of the lesions. Sun exposure can worsen irritation and is not recommended for treating contact dermatitis.
D. Wear cotton gloves and cover all other affected areas with clothing to prevent environmental irritation. While this can prevent further irritation, it does not directly manage the itching.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Herpes zoster virus usually is permanently disabling to healthy adults. Herpes zoster (shingles) can cause significant pain and discomfort, but it is not typically permanently disabling to healthy adults.
B. The pain experienced by most patients is typically described as "dull and aching." The pain associated with herpes zoster is usually described as sharp, burning, or stabbing rather than dull and aching.
C. There is usually a rash that occurs in the thoracic region. The rash associated with herpes zoster often appears in a dermatomal distribution, commonly in the thoracic region, following a nerve pathway on one side of the body.
D. Analgesics are often prescribed for pain; however, steroids are usually avoided because of the immune system suppression. While analgesics are commonly prescribed for pain management in herpes zoster, steroids may be used in certain cases to reduce inflammation, particularly if there is nerve involvement. The use of steroids should be carefully considered based on the patient’s overall health and immune status.
Correct Answer is A
Explanation
A. Having a nonjudgmental attitude: A nonjudgmental attitude fosters trust and openness, encouraging the patient to provide honest answers.
B. Promising the patient not to tell anyone: This may be unethical and impractical as certain information may need to be shared for the patient's care.
C. Not asking personal questions: Personal questions are necessary to understand the patient's condition and provide appropriate care.
D. Including the family: Including the family might inhibit the patient's honesty due to fear of judgment or privacy concerns.
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