A child is upset because, when the cast is removed from her leg, the skin surface is caked with desquamated skin and sebaceous secretions. What should the nurse suggest to remove this material?
Apply powder to absorb the material.
Vigorously scrub the leg.
Carefully pick the material off the leg.
Wash the area with warm water and soap
The Correct Answer is D
When the skin surface is caked with desquamated skin and sebaceous secretions after the removal of a cast, the nurse should suggest washing the area with warm water and soap. This will help to gently cleanse the skin and remove the accumulated material without causing unnecessary trauma or irritation.
Option A, applying powder to absorb the material, may not effectively remove the caked material and could potentially lead to further clumping or discomfort.
Option B, vigorously scrubbing the leg, can be harsh on the skin and may cause skin irritation, redness, or even abrasions. It is important to be gentle and avoid excessive scrubbing, especially on the fragile and recently exposed skin.
Option C, carefully picking the material off the leg, can increase the risk of skin injury or introduce bacteria into the skin. Picking at the skin should be avoided to prevent further damage or infection.
Therefore, option D, washing the area with warm water and soap, is the most appropriate and gentle method to remove the caked material from the skin surface
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The most appropriate statement by the nurse to a 15-year-old whose friend has mentioned suicide is option A. The statement acknowledges the seriousness of the situation and emphasizes the importance of taking the friend's threat seriously. It also highlights the need for immediate help and intervention. Suicide threats should never be dismissed or taken lightly, and it is crucial to involve professionals who can provide appropriate support and assistance.
"Tell your friend to come to the clinic immediately," in option B is incorrect because places the responsibility solely on the 15-year-old to relay the message to their friend, which may not be the most effective or timely approach.
"If your friend mentions suicide again, get your friend some help," in (option C) is incorrect because it does not address the urgency of the situation. Waiting for the friend to mention suicide again before acting may lead to potential harm.
"You need to gather details about your friend's suicide plan," is incorrect because places the responsibility on the 15-year-old to gather information about the friend's suicidal intentions. While understanding the situation and obtaining relevant details is important, the immediate priority is ensuring the friend's safety and seeking professional help.
Correct Answer is A
Explanation
Graves' disease is an autoimmune disorder that affects the thyroid gland and results in the overproduction of thyroid hormones. Treatment for Graves' disease typically involves medications to regulate thyroid function. Adherence to the medication regimen is crucial for managing the disease and controlling symptoms.
By prioritizing the goal of verbalizing the importance of adherence to the medication regimen, the nurse aims to educate the adolescent about the significance of taking medications as prescribed. This education can help the adolescent understand the impact of medication non-adherence on their health and encourage them to actively participate in their treatment.
, developing alternative educational goals in (option B) is incorrect because it, is not directly related to the management of Graves' disease and its treatment.
allowing the adolescent to make decisions about whether or not to take medication in (option C) is incorrect because it, is not appropriate for a condition like Graves' disease where medication adherence is necessary for disease management. In this case, the nurse should focus on providing education and support to help the adolescent understand the importance of medication compliance.
relieving constipation in (option D) is incorrect because it, may be a consideration if constipation is a symptom experienced by the adolescent with Graves' disease. However, it is not the priority nursing goal as compared to ensuring adherence to the medication regimen, which directly addresses the management of Graves' disease.
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