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 B
Explanation
The regulation of acid-base balance in the body involves multiple systems working together. The respiratory system, renal system, and chemical-buffering systems play key roles in maintaining the balance of acids and bases in the body.
The respiratory system helps regulate acid-base balance through the control of carbon dioxide (CO2) levels in the blood. By adjusting the rate and depth of breathing, the respiratory system can increase or decrease the elimination of CO2, which affects the pH of the blood.
The renal system (kidneys) plays a crucial role in regulating acid-base balance by controlling the excretion and reabsorption of hydrogen ions (H+) and bicarbonate ions (HCO3-) in the urine. The kidneys can excrete excess acids or bases to help maintain the body's pH within a normal range.
The chemical-buffering systems involve various chemical compounds in the body that can absorb or release hydrogen ions to help maintain pH balance. Examples of chemical buffers include bicarbonate ions (HCO3-), phosphate ions (HPO4-), and proteins.
the cardiovascular and integumentary systemin (option A) is incorrect because they, are not primarily responsible for regulating acid-base balance in the body.

Correct Answer is B
Explanation
Legg-Calve-Perthes disease, also known as Perthes disease, is a childhood condition that affects the hip joint. It occurs due to a disruption in the blood supply to the femoral head (epiphysis), which can lead to bone death (avascular necrosis) and subsequent deformity of the femoral head.
It is essential for parents to understand that Legg-Calve-Perthes disease is not an acute illness that lasts for a short duration (Option A). It is a chronic condition that typically progresses over a period of months or years.
stating that it is caused by a virus, in (option C) is incorrect. The exact cause of Legg-Calve- Perthes disease is not fully understood, but it is not caused by a viral infection. It is believed to be related to multifactorial factors, including genetic and vascular factors.
stating that it primarily affects adults, in (option D) is incorrect. Legg-Calve-Perthes disease predominantly affects children, typically between the ages of 4 and 8 years old, during the period of rapid growth.

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