A teenager with a history of recurring atopic dermatitis (eczema) tells the school nurse of a desire to play high school sports.
Which action should the nurse take?
Advise the teenager to shower with non-perfumed soaps immediately after practice.
Inform the parents of problems associated with perspiration for those with eczema.
Inform the athletic coach of the teenager’s skin condition and its manifestations.
Encourage the teenager to join the swim team instead of an outdoor sport.
The Correct Answer is A
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Showering with non-perfumed soaps immediately after practice is a good practice for a teenager with a history of recurring atopic dermatitis (eczema) who wants to play high school sports. Heat and humidity can cause perspiration, which intensifies itching with atopic dermatitis (eczema), so the client should be encouraged to shower, using non-perfumed soaps, as soon as possible after physical activity to remove perspiration.
Choice B rationale
Informing the parents of problems associated with perspiration for those with eczema is also important. However, this does not directly address the teenager’s desire to play sports. It’s more of a secondary action that supports the primary action of managing the condition.
Choice C rationale
Informing the athletic coach of the teenager’s skin condition and its manifestations could be helpful in ensuring that the coach understands the teenager’s needs and can support them appropriately. However, this is not the most direct action that the nurse can take to help the teenager manage their condition while playing sports.
Choice D rationale
Encouraging the teenager to join the swim team instead of an outdoor sport could potentially reduce exposure to triggers for eczema flares, such as sweat and heat. However, chlorine in swimming pools can also be a trigger for some people with eczema. Therefore, this option might not be the best for everyone and should be considered on an individual basis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
Reviewing the child's medical history for any allergies or sensitivities is always a good practice during a routine check-up³?³?³?³?. However, in this case, the child's symptoms of difficulty focusing in school and decreased appetite may not necessarily be related to allergies or sensitivities. These symptoms could be indicative of various conditions, including emotional distress, sleep disorders, or other health issues²².
Choice B rationale
Examining the child's torso and arms for any signs of physical trauma is an important step if there is suspicion of physical abuse³?[^40^]?¹?². However, the symptoms described by the mother do not necessarily suggest physical trauma. Therefore, while a physical examination is part of a routine check-up, it may not directly address the child's reported symptoms.
Choice C rationale
Permethrin is a medication used to treat scabies and lice¹³¹?. There is no indication in the scenario provided that the child has these conditions. Therefore, advising the parents to initiate treatment with permethrin would not be appropriate based on the information given.
Choice D rationale
Given the child's symptoms of difficulty focusing in school and decreased appetite, it would be appropriate to recommend the parents to seek further medical evaluation for the child²?²?²?. These symptoms could be indicative of various conditions, including emotional distress, sleep disorders, or other health issues, which would require further investigation²².
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
If an older adult client reports pain, redness, and swelling in the eye, asking about discharge from the eye is crucial. These symptoms could indicate a number of conditions, including conjunctivitis or uveitis. Discharge, especially if it is pus-like or sticky, could suggest an infection.
Choice B rationale
While keeping immunizations up-to-date is generally important for health, it is not the most relevant question in this context. Not all eye conditions are preventable through immunization.
Choice C rationale
Asking about new medications is relevant as certain medications can cause side effects or allergic reactions that affect the eyes. However, the symptoms described are more commonly associated with conditions like conjunctivitis or uveitis, which are not typically caused by medications.
Choice D rationale
Regular hand washing is important for general health and can prevent the spread of many diseases. However, it is not the most relevant question when a client presents with pain, redness, and swelling in the eye.
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