Which of the following should a nurse include in parent teaching to prevent diaper dermatitis?
Applying a thick layer of diaper cream only at bedtime
Keeping the diaper area moist
Changing the diaper every 2 to 3 hours
Using scented wipes for cleaning
The Correct Answer is C
A. Applying diaper cream only at bedtime does not provide adequate protection. Barrier creams (such as zinc oxide or petroleum jelly) should be applied with each diaper change to protect the skin from prolonged contact with urine and stool.
B. Keeping the diaper area moist promotes skin breakdown and increases the risk of fungal and bacterial overgrowth. The goal is to keep the area clean and dry.
C. Changing the diaper every 2 to 3 hours (or sooner if soiled) helps minimize skin exposure to irritants, reducing the likelihood of diaper dermatitis. Frequent changes, along with gentle cleaning and use of barrier ointments, are the most effective preventive strategies.
D. Using scented wipes can irritate the sensitive skin of infants. Unscented wipes or plain water with a soft cloth are preferred.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Jaundice can occur due to hemolysis but is not usually the earliest or most specific initial finding.
B. Fever may occur with infection, but it is not typically the first sign of sickle cell disease in infants.
C. Swelling of the hands and feet (dactylitis) is often the earliest clinical manifestation in infants, caused by vaso-occlusion from sickled cells.
D. Failure to thrive may develop later due to chronic illness but is not usually the initial finding.
Correct Answer is C
Explanation
A. Spicy foods can irritate the oral mucosa and worsen mucositis; they should be avoided.
B. Oral hygiene should not be avoided—gentle oral care is essential to reduce infection risk and discomfort.
C. Using a soft-bristle toothbrush is correct because it allows for oral hygiene while minimizing trauma to delicate tissues.
D. Ice-cold beverages may provide temporary comfort but do not replace the need for proper oral care with a soft-bristle brush.
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