A topical corticosteroid is prescribed by the primary health care provider for a child with contact dermatitis. Which instruction should the nurse give the parent about applying the cream?

Avoid cleansing the area before application of the cream.

Apply a thin layer of cream and rub it into the area thoroughly.

Apply the cream over the entire body.

Apply a thick layer of cream to affected areas only.

Answer and Explanation

The Correct Answer is B

A.   The area should be cleansed gently before applying the cream to remove any irritants and allow for better absorption of the medication. Proper cleansing can help enhance the effectiveness of the corticosteroid.
B.   Topical corticosteroids should be applied in a thin layer to the affected area and gently rubbed in. Applying too much can increase the risk of side effects, and a thin application ensures better absorption without overwhelming the skin.
C.   The corticosteroid should be applied only to the affected areas of the skin, not the entire body. Overuse can lead to systemic absorption and potential side effects, particularly in children, whose skin is more permeable.
D.   While it is important to cover the affected areas, applying a thick layer is not recommended. A thin layer is usually sufficient and minimizes the risk of side effects from excessive corticosteroid use.

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Correct Answer is D

Explanation

A. While using an incentive spirometer is important in promoting lung expansion and preventing respiratory complications, it is not directly related to the administration of acyclovir. This intervention is typically more relevant for patients at risk of respiratory issues.
B. A high-carbohydrate diet is not a specific recommendation related to acyclovir administration. While nutrition is important for overall health, this intervention does not address the key concerns associated with the use of acyclovir.
C. While activity levels may need to be monitored based on the patient's overall condition, limiting activity is not a primary concern with acyclovir. The medication itself does not usually require significant restrictions on physical activity unless the patient has other conditions that warrant it.
D. Acyclovir can be nephrotoxic, especially when given intravenously, and maintaining adequate hydration helps prevent kidney damage. Encouraging fluids ensures that the kidneys can effectively excrete the medication and reduces the risk of crystallization in the renal tubules.

A. Lesions in the scalp that extend to the hairline or neck. B. Circular lesion with raised edges and central clearing and itching C. White sacs attached to the hair shafts in the occipital area D. Maculopapular lesions behind the ears.

Correct Answer is C

Explanation

A. While scratching due to lice can lead to irritation and lesions, this finding is not specific to pediculosis capitis. Lesions extending to the hairline or neck could be caused by various conditions, such as eczema or dermatitis, rather than lice infestation.
B. This description is more characteristic of tinea capitis (scalp ringworm) rather than pediculosis capitis. Tinea capitis presents as circular patches with raised edges and may cause itching, but it is not caused by lice.
C. In cases of pediculosis capitis, the white sacs refer to nits (lice eggs), which are commonly found attached to hair shafts, especially around the occipital area (back of the head). Nits are oval and may be mistaken for dandruff but are firmly attached to the hair.
D. While maculopapular lesions can be a result of scratching, they are not a typical finding in pediculosis capitis. Such lesions might indicate another skin condition or an allergic reaction rather than an infestation of lice.

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A topical corticosteroid is prescribed by the primary health care provider for a child with contact dermatitis. Which instruction should the nurse give the parent about applying the cream?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing intervention is most critical during the administration of acyclovir?

Correct Answer is D

Explanation

The school nurse is conducting pediculosis capitis checks. A child with a positive head check would have which finding?

Correct Answer is C

Explanation

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