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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. is present in all age-groups, but especially older adults : Impetigo is more common in children and not especially prevalent in older adults.
B. Usually presents with a rash on the patient's back: Impetigo typically presents on exposed areas such as the face, arms, and legs, not usually the back.
C. Is a highly contagious inflammatory disorder: Impetigo is highly contagious and characterized by inflammatory skin lesions.
D. is a viral skin infection: Impetigo is caused by bacterial infection (usually Staphylococcus aureus or Streptococcus pyogenes), not a virus.

A. Posttraumatic stress disorder B. Phobia C. Obsessive-compulsive disorder D. Disordered thinking

Correct Answer is A

Explanation

. Posttraumatic stress disorder: This behavior is consistent with PTSD, where triggers related to a traumatic event cause intense emotional and physical reactions.

B. Phobia: A phobia is an intense fear of a specific object or situation, but this behavior is linked to a traumatic event rather than a specific fear.

C. Obsessive-compulsive disorder: OCD involves compulsive behaviors and obsessions, not reactions to trauma.

D. Disordered thinking: Disordered thinking involves abnormal thought processes, which does not directly explain the reaction to firecrackers.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nine-year-old patient is being evaluated for a skin rash. The preliminary diagnosis is impetigo contagiosa. The nurse assists with planning care with which fact about impetigo contagiosa in mind?

Correct Answer is C

Explanation

A 14-year-old survivor of a school shooting screams and dives under a table when firecrackers go off. What does this behavior represent?

Correct Answer is A

Explanation

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