The nurse is caring for a child who has contact dermatitis due to poison ivy. Which of the following actions should the nurse take? Select all that apply.
Remove the clothing over the rash.
Initiate contact isolation precautions while the rash is present.
Expose the rash to a heat lamp for 15 minutes.
Cleanse the affected skin with a hydrogen peroxide solution.
Apply calamine lotion to the skin.
Correct Answer : A,E
Rationale:
A. Removing clothing over the rash helps eliminate any remaining irritant oils from the plant, which can prevent further skin exposure.
B. Contact dermatitis from poison ivy is not contagious; isolation is unnecessary.
C. Heat exposure can worsen inflammation and itching. It is not a recommended treatment.
D. Hydrogen peroxide can further irritate the skin and is not appropriate for cleansing poison ivy rash. Mild soap and water are recommended.
E. Calamine lotion helps soothe itching and provides relief from discomfort caused by the rash.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Bruising around the hip is not a typical sign of developmental dysplasia of the hip (DDH); it could indicate trauma.
B. Low urine output is unrelated to hip development and may indicate kidney or hydration issues.
C. Asymmetry in thigh or gluteal skin folds — such as extra skin folds on one leg — is a common sign of DDH. It suggests that the hip may not be properly aligned or developed.
D. Diaper fit can vary for many reasons and is not a reliable indicator of DDH.
Correct Answer is D
Explanation
Rationale:
A. Parainfluenza virus typically causes respiratory illnesses like croup, not skin infections.
B. Respiratory syncytial virus (RSV) primarily affects the lower respiratory tract in infants and young children and is unrelated to skin infections.
C. Escherichia coli is more commonly associated with gastrointestinal and urinary tract infections, not skin infections.
D. Streptococcus species, particularly Streptococcus pyogenes (Group A strep), are a common cause of cellulitis, especially in children. The infection often enters through breaks in the skin, leading to inflammation and infection of the deeper dermis and subcutaneous tissue.
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