A nurse is assessing an infant who has contact dermatitis. Which of the following findings should the nurse expect?

Mild, occasional itching

Oily skin

Warm hands

Scaly patches on the cheeks

Answer and Explanation

The Correct Answer is D

A. Mild, occasional itching: Contact dermatitis usually causes more persistent and sometimes severe itching rather than mild and occasional.
B. Oily skin: Contact dermatitis typically causes dryness and irritation rather than oily skin.
C. Warm hands: Warm hands are not a characteristic finding of contact dermatitis.
D. Scaly patches on the cheeks: This is correct. Contact dermatitis can cause scaly patches, redness, and irritation on the skin, including the cheeks.

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Correct Answer is D

Explanation

A. Check with the surgery department that the procedure is correct. While important, it does not address the client's misunderstanding.
B. Notify the provider after the client signs the form. The client should not sign the form until they understand the procedure.
C. Explain to the client that both breasts are to be removed. The nurse should not provide surgical explanations beyond their scope.
D. Ask the provider to clarify the procedure with the client before she signs the form. The provider must ensure the client understands the procedure before consent is signed.

A. Decrease in heart rate B. Increase in vagal nerve tone C. Decrease in respiratory rate D. Increase in muscle tone

Correct Answer is D

Explanation

A. Decrease in heart rate: Acute pain typically causes an increase in heart rate, not a decrease.
B. Increase in vagal nerve tone: An increase in vagal nerve tone can actually result in a decreased heart rate and is not a direct indicator of acute pain.
C. Decrease in respiratory rate: Acute pain usually causes an increase in respiratory rate, not a decrease.
D. Increase in muscle tone: This is correct. An increase in muscle tone can indicate acute pain as the body tenses in response to pain.

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A nurse is assessing an infant who has contact dermatitis. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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