A patient developed a severe contact dermatitis of the hands, arms, and lower legs after spending an afternoon picking strawberries. The patient states that the itching is severe and cannot keep from scratching. Which instruction will be helpful in managing the pruritus?
Trim the fingernails short to prevent skin damage from scratching.
Use cool, wet dressings and baths to promote vasoconstriction.
Expose the areas to the sun to promote drying and healing of the lesions.
Wear cotton gloves and cover all other affected areas with clothing to prevent environmental irritation.
The Correct Answer is B
A. Trim the fingernails short to prevent skin damage from scratching. While this is good advice to prevent further skin damage, it does not directly address the itching.
B. Use cool, wet dressings and baths to promote vasoconstriction. Cool, wet dressings and baths can help soothe itching and reduce inflammation by promoting vasoconstriction.
C. Expose the areas to the sun to promote drying and healing of the lesions. Sun exposure can worsen irritation and is not recommended for treating contact dermatitis.
D. Wear cotton gloves and cover all other affected areas with clothing to prevent environmental irritation. While this can prevent further irritation, it does not directly manage the itching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A 12-step program: The foundation of Alcoholics Anonymous is its 12-step program, which guides individuals through the process of recovery.
B. Individual counseling: While individual counseling can be part of recovery, it is not the foundation of AA.
C. Treatment center: AA is not a treatment center but a fellowship and support group that meets in various locations.
D. Psychotherapy: Psychotherapy is a treatment modality but is not the foundation of AA, which is based on peer support and the 12-step program.
Correct Answer is A
Explanation
A. Denial: Denial is a common initial reaction to bad news, where the individual is unable to accept the reality of the situation. The father's planning for the future as if his daughter will recover is indicative of denial.
B. Reconciliation: Reconciliation is not typically used as a term to describe a stage of grief or crisis response. It usually refers to the process of making peace with a situation, which does not fit the father's current behavior.
C. High anxiety: High anxiety would likely manifest as visible stress, agitation, or frantic behavior, not the calm and hopeful planning described.
D. Adaptation: Adaptation involves adjusting to a new reality and moving forward. The father's behavior suggests he has not yet accepted the reality of his daughter's condition, which rules out adaptation.
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