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 D
Explanation
A. Dermis. The dermis contains connective tissue, blood vessels, and other structures but not melanocytes.
B. Superficial fascia. The superficial fascia, or hypodermis, is primarily composed of fat and connective tissue and does not contain melanocytes.
C. Epidermis. Melanocytes are located in the basal layer of the epidermis, where they produce melanin.
D. Loose connective tissue. Loose connective tissue is found in various parts of the body but does not contain melanocytes responsible for skin pigmentation.
Correct Answer is B
Explanation
A. A furuncle (boil) is a deeper infection involving a hair follicle and surrounding tissue, but it is not the term for a simple follicle infection.
B. Folliculitis is the term for an infection of the hair follicle.
C. A felon is an infection of the fingertip or pulp, not the hair follicle.
D. A carbuncle is a cluster of furuncles (boils) that form a larger, deeper infection, rather than a simple follicle infection.
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