A nurse is assisting with admitting an infant who has diaper dermatitis. Which of the following actions should the nurse plan to take? (Select All that Apply.)
Change diapers frequently
Allow the buttocks to air-dry
Use commercial baby wipes that are free of alcohol and fragrances to cleanse the area
Apply zinc oxide ointment to the affected area
Apply talcum powder with every diaper change
Correct Answer : A,B,C,D
A. Change diapers frequently. Frequent diaper changes reduce prolonged contact with moisture, decreasing the risk of dermatitis.
B. Allow the buttocks to air-dry. Air-drying helps to keep the skin dry and allows it to heal, preventing further irritation.
C. Use commercial baby wipes that are free of alcohol and fragrances to cleanse the area. Alcohol and fragrance-free wipes minimize further irritation to the sensitive skin.
D. Apply zinc oxide ointment to the affected area. Zinc oxide creates a protective barrier that helps heal and protect the skin from moisture and irritants.
E. Apply talcum powder with every diaper change. Talcum powder is not recommended as it can be inhaled by the infant and may cause respiratory issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "I will keep my baby in an upright position after feeding." Keeping the infant upright after feedings helps reduce reflux by utilizing gravity to keep the stomach contents from coming back up into the esophagus.
B. "I will have to feed my baby formula, rather than breast milk." Breast milk is actually preferred for infants with reflux as it is digested more quickly than formula, which may reduce reflux episodes.
C. "My baby's formula can be thickened with oatmeal." While thickening feeds can help in some cases, it's generally done with rice cereal under the guidance of a healthcare provider. Oatmeal is not typically recommended for thickening formula for young infants.
D. "I should move my baby into a side-lying position during sleep." Side-lying position is not recommended for sleep due to the risk of sudden infant death syndrome (SIDS). The baby should be placed on their back to sleep.
Correct Answer is D
Explanation
A. Sun exposure: Sun exposure typically causes sunburn rather than tiny pinhead-sized papules.
B. Allergic reaction: Allergic reactions often present with different types of lesions or hives, not typically tiny papules.
C. Infection: Infections might cause different types of lesions or pustules rather than the described tiny papules.
D. Heat and moisture: Heat rash (miliaria) results from blocked sweat ducts, leading to tiny red papules due to overheating and trapped sweat, commonly occurring in areas like the neck and axilla.
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