A nurse is caring for an infant who has diaper dermatitis. Which of the following actions should the nurse take?

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

Change to cloth diapers until the skin is healed.

Expose the excoriated area to hot air frequently.

Use a moisturizer to wipe urine from the skin.

Answer and Explanation

The Correct Answer is D

a. Talcum powder is not recommended for use with infants because it can be inhaled, potentially causing respiratory problems. Instead, a barrier cream or ointment (such as zinc oxide or petroleum jelly) should be used to protect the skin from moisture and irritants.

b.While cloth diapers can be less irritating than some disposable diapers, they may not be as effective at keeping the skin dry. The priority is to keep the area dry and clean, regardless of the type of diaper used. Super-absorbent disposable diapers are often recommended because they can help keep the skin dry.

c. Exposing the skin to hot air can cause burns and further irritation. Instead, allowing the skin to air dry naturally (without the use of hot air) during diaper changes can be beneficial.

d. A moisturizer creates a barrier between the skin and irritants like urine and stool. Wiping with a moisturizer can minimize friction during cleaning, which can be uncomfortable for the baby and further irritate the skin. Some moisturizers can help soothe and hydrate the inflamed skin, promoting healing.

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Correct Answer is C

Explanation

Neural tube defects are birth defects of the brain, spine, or spinal cord that happen in the ﬁrst month of pregnancy.
Spina biﬁda is a neural tube defect that aﬀects the spine.
Choice A, Hydrocephalus, is not a neural tube defect but rather a condition where there is an accumulation of cerebrospinal ﬂuid within the brain.
Choice B, Cerebral palsy, is not a neural tube defect but rather a group of disorders that aﬀect movement and muscle tone or posture.
Choice D, Muscular dystrophy, is not a neural tube defect but rather a group of genetic diseases that cause progressive weakness and loss of muscle mass.

A. Notify the provider. B. Continue to monitor the client. C. Perform a bladder scan at the bedside. D. Provide oral rehydration ﬂuids.

Correct Answer is B

Explanation

Normal urine output for a child is 1-2 ml/kg/hr.
The child weighs 33 lb (15 kg), so their expected urine output over an 8-hour period would be between 120 mL and 240 mL.
The child’s urine output of 160 mL falls within this range.
Choice A, Notifying the provider, is not necessary because the child’s urine output
is within the normal range.
Choice C, Perform a bladder scan at the bedside, is not necessary because there is no indication of urinary retention.
Choice D, Providing oral rehydration ﬂuids, is not necessary because the child’s urine output is within the normal range.

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A nurse is caring for an infant who has diaper dermatitis. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching about neural tube defects to a group of females who are pregnant. Which of the following disease processes should the nurse include as an example of a neural tube defect?

Correct Answer is C

Explanation

A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8-hour period. The child weighs 33 lb. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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