The mother of a toddler is upset because the child experiences rashes in the winter. What should the nurse suggest to help with this skin condition?
Use a poly vinyl snowsuit when out of doors.
Wash with hot water and antimicrobial soap.
Ensure clothing fits loosely and is made of cotton.
Apply rubbing alcohol over the rash.
The Correct Answer is C
A. Polyvinyl or non-breathable materials can trap moisture and heat, which may worsen skin irritation and rashes. Breathable fabrics are preferred to prevent sweating and friction that can exacerbate eczema or dry skin.
B. Hot water and harsh soaps strip natural oils from the skin, increasing dryness and irritation. Mild, lukewarm baths with fragrance-free cleansers are recommended for children with sensitive skin.
C. Loose-fitting cotton clothing allows the skin to breathe, reduces friction, and helps prevent irritation from wool or synthetic fibers. Cotton is gentle on sensitive skin and is recommended for children prone to winter rashes or atopic dermatitis.
D. Rubbing alcohol is highly irritating and can cause further dryness and burning. It is not appropriate for treating rashes, especially in toddlers with sensitive skin. Moisturizers and barrier creams are preferred.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Infantile eczema (atopic dermatitis) does not directly increase the risk of pneumonia. While severe eczema may predispose to skin infections, it does not inherently affect the respiratory system or susceptibility to bacterial pneumonia.
B. Children with infantile eczema are at increased risk for developing asthma and other allergic conditions (e.g., allergic rhinitis, food allergies) later in childhood. This is part of the atopic march, a progression of allergic diseases that often begins with eczema in infancy and can lead to respiratory allergic conditions.
C. Eczema does not typically cause increased sensitivity to sunlight. Photosensitivity is more commonly associated with certain medications, autoimmune conditions, or genetic disorders, not atopic dermatitis.
D. Acne is not associated with infantile eczema. Acne usually appears in adolescence due to hormonal changes affecting sebaceous glands and is unrelated to atopic dermatitis.
Correct Answer is D
Explanation
A. This response dismisses the parent’s concerns and limits the child’s social and developmental opportunities. It does not address the underlying feelings or provide guidance on safe participation in school or sports.
B. Labeling the parent as “overprotective” is judgmental and may make the parent feel defensive. It does not encourage open communication or validate her concerns.
C. While well-being is important, this response does not explore the parent’s feelings or provide education about safely managing diabetes during physical activity. It may inadvertently reinforce anxiety rather than support informed decision-making.
D. This response is therapeutic and open-ended, encouraging the parent to express her concerns and emotions. It allows the nurse to assess the parent’s understanding, provide education about safe diabetes management during school and sports, and collaborate on strategies to promote the child’s participation while minimizing risk. This approach supports both parental reassurance and the child’s psychosocial development.
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