Which statement made by the mother of a child suffering from eczema alerts the nurse to the need for more teaching?
"I will use baby wipes to clean the affected area between baths."
"We will stop using bubble baths."
"I will keep the affected areas clean and dry to prevent infections."
"I will apply non scented lotion after bath time."
The Correct Answer is A
A. This statement indicates a need for further teaching. Many baby wipes contain alcohol, fragrances, or preservatives that can irritate sensitive skin and exacerbate eczema. The nurse should instruct the parent to use plain water or gentle, fragrance-free cleansers and avoid harsh wipes to prevent flare-ups.
B. This demonstrates correct understanding. Bubble baths often contain fragrances and detergents that can irritate the skin and trigger eczema flare-ups. Avoiding them helps maintain skin integrity.
C. This statement is appropriate. Keeping eczema-affected areas clean and dry reduces the risk of secondary bacterial infections, which are common due to scratching and broken skin.
D. This is correct practice. Applying a fragrance-free, hypoallergenic moisturizer immediately after bathing locks in moisture and prevents dryness, which is key in eczema management.Top of FormBottom of Form
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Sugar-free or nonnutritive sweeteners (e.g., sucralose, stevia, aspartame) do not raise blood glucose levels and are safe for clients with type 1 diabetes mellitus when used in moderation. They allow the client to sweeten foods and beverages without affecting glycemic control.
B. Corn syrup is high in glucose and fructose and can significantly increase blood sugar levels. It is not recommended for clients with diabetes.
C. Although natural, honey is high in simple sugars and can cause rapid elevations in blood glucose. Clients with type 1 diabetes should avoid using it for sweetening purposes.
D. Agave nectar, like honey, contains high levels of fructose, which can raise blood glucose levels and is not recommended for clients with diabetes seeking safe sweetening options.
Correct Answer is D
Explanation
A. Antifungal ointments, such as clotrimazole or miconazole, are used to treat fungal infections like tinea capitis or ringworm. Pediculosis capitis is caused by head lice (an ectoparasite), not a fungus, so antifungal ointments are ineffective. Using them can delay appropriate treatment and does not eradicate lice or nits.
B. Hydrogen peroxide is sometimes used for minor wound cleaning or hair bleaching, but it has no proven effect on lice or nits. Its application to the scalp can cause skin irritation, dryness, and discomfort without treating the underlying infestation, making it an inappropriate intervention.
C. Head lice are species-specific parasites that infest humans and cannot survive on pets. Treating animals is unnecessary and does not prevent reinfestation. Resources and efforts should instead focus on treating the affected child, close human contacts, and contaminated personal items.
D. Lice and nits can survive on bedding, clothing, hats, and towels. Washing these items in hot water and drying them on high heat for at least 20 minutes effectively kills lice and prevents reinfestation. Items that cannot be washed can be sealed in an airtight plastic bag for 14 days. This environmental control is an essential component of comprehensive pediculosis management.
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