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."

Answer and Explanation

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

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Correct Answer is A

Explanation

A. Rotating injection sites within the same general area helps prevent lipohypertrophy, which is the development of fatty lumps due to repeated insulin injections in the same spot. Proper rotation ensures consistent absorption of insulin and maintains skin integrity. Common rotation sites include the abdomen, thighs, upper arms, and buttocks.

B. Insulin is absorbed most rapidly from the abdomen, followed by the arms, thighs, and buttocks. Injecting into the thigh results in slower absorption, which can affect glycemic control if timing is critical, such as before meals.

C. Insulin should be allowed to reach room temperature before injection. Cold insulin can increase discomfort and pain at the injection site. Letting insulin warm slightly reduces injection pain and makes administration easier.

D. Massaging the injection site is not recommended, as it can alter insulin absorption, cause bruising, or irritation, and may contribute to tissue trauma. Insulin should be injected and left undisturbed for proper absorption.

A. "The insulin should be injected at a 90-degree angle." B. "I will be sure my child aspirates before injecting the insulin." C. "I will be sure my child rotates sites after five injections in one area." D. "The insulin can be injected anywhere there is adipose tissue."

Correct Answer is B

Explanation

A. This statement is appropriate for school-age children using standard subcutaneous insulin injection techniques, especially with shorter needles. A 90-degree angle ensures the insulin is delivered into the subcutaneous tissue rather than muscle, which allows for consistent absorption.

B. This statement indicates a need for further teaching. Aspiration (pulling back the plunger to check for blood) is not recommended for subcutaneous insulin injections, as it is unnecessary and can increase pain or tissue trauma. Modern guidelines advise injecting directly into the subcutaneous tissue without aspiration.

C. This statement is appropriate. Rotating injection sites within the same general area prevents lipodystrophy (thickened or atrophied subcutaneous tissue) and ensures consistent insulin absorption.

D. This statement is appropriate. Subcutaneous insulin injections can be administered in areas with adequate subcutaneous fat, such as the abdomen, outer thigh, upper arm, or buttocks, with site rotation to prevent tissue damage and maintain consistent absorption.

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Which statement made by the mother of a child suffering from eczema alerts the nurse to the need for more teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about insulin injections with a client who is newly diagnosed with type I diabetes mellitus. Which of the following information should the nurse include about site selection?

Correct Answer is A

Explanation

A nurse is reinforcing teaching about self-administration of insulin with a parent of a school-age child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?

Correct Answer is B

Explanation

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