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 B
Explanation
A. Schizophrenia is a chronic mental health disorder not characterized by time-specific delirium.
B. Sundowning syndrome refers to increased confusion and agitation in the late afternoon and evening, often seen in patients with delirium or dementia.
C. Disordered thinking can be a symptom of many conditions but does not specifically describe time-related delirium.
D. Dementia is a chronic condition that can include sundowning but does not specifically describe this time-related agitation and confusion.
Correct Answer is B
Explanation
A. Depression is more related to a sense of loss or prolonged stress, not immediate perceived threats.
B. Anxiety is an emotional response to a perceived threat, involving worry and fear about potential danger.
C. Fear is a direct response to a known and definite threat, whereas anxiety is more about anticipation of a threat.
D. Anger can result from frustration or perceived injustice but is not primarily driven by perceived threats to self.
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