A nurse is caring for an infant who has diaper dermatitis. What is an appropriate action for the nurse to take when caring for this client?

Wash off the barrier cream with each diaper change.

Cloth diapers are recommended to manage this disorder.

Apply a light layer of talcum powder with each diaper change.

Expose the excoriated area to air frequently.

Answer and Explanation

The Correct Answer is D

A. Barrier creams should not be washed off with each diaper change; they should be left intact to protect the skin.

B. Cloth diapers can sometimes exacerbate diaper dermatitis due to moisture retention; disposable diapers may be better at wicking moisture away from the skin.

C. Talcum powder is not recommended due to the risk of inhalation, which can cause respiratory issues in infants.

D. Exposing the excoriated area to air frequently allows the skin to dry out, reducing moisture and irritation, which is beneficial in managing diaper dermatitis.

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Correct Answer is B

Explanation

A. Intravenous fluids are generally not required if the child is alert and active with mild dehydration; oral rehydration is usually sufficient.

B. Oral rehydration solutions are appropriate for treating mild dehydration and should be given in small amounts frequently.

C. Chicken broth is not ideal for replacing electrolytes because it is low in electrolytes and high in sodium. Oral rehydration solutions are preferred.

D. A depressed soft spot (fontanel) is a sign of severe dehydration in infants. For a 4-year-old, signs of dehydration would include changes in urine output, thirst, or dry mucous membranes rather than a depressed fontanel.

A. Change the routine of the preschooler often to stimulate initiative. B. Reward the child for initiative in order to build self-esteem. C. As a parent, decide how and with whom the child will play D. Do not set limits on the preschooler's behavior as this results in low self-esteem.

Correct Answer is B

Explanation

A. Changing routines frequently might confuse the child rather than stimulate initiative.

B. Rewarding the child for showing initiative positively reinforces the behavior and encourages further development.

C. Allowing the child to make choices about playmates can foster independence but may not directly stimulate initiative.

D. Setting appropriate limits is important for a child's development, but not setting any limits can lead to behavioral issues rather than promoting initiative.

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A nurse is caring for an infant who has diaper dermatitis. What is an appropriate action for the nurse to take when caring for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A clinic nurse is caring for a 4-year-old client with acute diarrhea and mild dehydration who is afebrile, active, and alert. The nurse is providing instructions to the parent. Which statement by the parent indicates understanding?

Correct Answer is B

Explanation

The nurse is explaining to parents that the preschooler's developmental task is focused on the development of initiative rather than guilt. What is a priority intervention the nurse might recommend for parents of preschoolers to stimulate initiative?

Correct Answer is B

Explanation

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