Which statement made by a parent indicates the need for further teaching about strategies to control itching for the infant with eczema?
"Wool is the best fabric for the infant's clothing.”.
"I should avoid laundry detergents with fragrances.”.
"I put cotton gloves on the infant's hands.”.
"The infant's fingernails are kept short.”.
The Correct Answer is A
Choice A rationale
Wool fibers have a rough, coarse texture that can mechanically irritate the delicate skin of an infant with eczema. This physical abrasion can trigger an inflammatory response and exacerbate the itching and rash associated with the condition. The goal is to use smooth, breathable fabrics like cotton to minimize skin friction.
Choice B rationale
Fragrances and dyes in laundry detergents are common chemical irritants and allergens that can cause contact dermatitis and worsen eczema symptoms. Avoiding these additives is crucial for minimizing exposure to potential triggers and reducing inflammation and itching in sensitive skin.
Choice C rationale
Putting cotton gloves or socks on an infant's hands is a practical strategy to prevent the infant from scratching their skin. The mechanical trauma from scratching can break the skin barrier, leading to secondary infections and worsening the eczema flare-up.
Choice D rationale
Keeping fingernails short is a fundamental measure to prevent the skin damage caused by scratching. Long, sharp nails can tear the skin, creating entry points for bacteria and increasing the risk of infection, a common complication of poorly controlled eczema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
While nutritional status is crucial for wound healing, and labs such as albumin (normal range 3.5-5.0 g/dL) and prealbumin (normal range 15-36 mg/dL) are important indicators, assessing the underlying cause of non-healing is a priority. Drawing labs is a subsequent step after a thorough assessment has been completed to rule out circulatory issues as the primary cause.
Choice B rationale
A wound culture is performed to identify pathogens that may be causing a non-healing wound. However, it should only be done after assessing for other potential causes, such as poor circulation, which can compromise the delivery of immune cells and antibiotics to the wound site, making it impossible for the wound to heal regardless of the presence of bacteria.
Choice C rationale
Elevating the foot may be beneficial for reducing edema if present, which can impede circulation. However, this intervention should be based on a comprehensive circulatory assessment. Without first assessing the vascular status of the leg, this action is premature and may not be the most critical first step to take in addressing the underlying problem.
Choice D rationale
Assessing the right leg for pulses, skin color, and temperature is the most critical first step. A non-healing wound on an extremity, particularly an ankle, may indicate underlying peripheral arterial disease. Inadequate blood flow compromises oxygen and nutrient delivery to the wound bed, preventing cellular repair and growth. Ruling out or identifying circulatory compromise is the initial priority.
Correct Answer is A
Explanation
Choice A rationale
African Americans have a disproportionately high prevalence and severity of hypertension compared to other racial groups. This is due to a complex interplay of genetic predispositions, socioeconomic factors, and systemic health disparities. Targeting this community through culturally competent outreach at churches is highly effective.
Choice B rationale
While some Asian populations have a genetic predisposition to certain health conditions, hypertension prevalence is not as markedly high in this group as in African Americans. Community outreach for hypertension screening should focus on populations with the highest risk to maximize public health impact.
Choice C rationale
High school sports camps primarily target a young, generally healthy population. While health education is always valuable, the prevalence of hypertension is much lower in this demographic than in older adult populations. Screening resources would be better allocated to older, higher-risk groups.
Choice D rationale
Women's health clinics serve a broad population, but hypertension affects both genders. While important, this venue does not specifically target the population with the highest prevalence and risk, which data indicates are African-American communities, especially older adults.
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