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. Every 6 months. Semi-annual screenings may be necessary for certain conditions or if there are ongoing health issues, but generally, an annual check-up is sufficient for preventive health.
B. Every 3 years. This interval is too long for preventive health screenings in older adults, who are at higher risk for various health conditions.
C. Every 2 years. This interval may be appropriate for certain screenings, but annual check-ups are recommended to ensure timely detection and management of health issues.
D. Every year. Annual health screenings are recommended for older adults to monitor for chronic conditions, update vaccinations, and promote overall health.
Correct Answer is F
Explanation
A. Insert nasogastric tube: A nasogastric tube may be inserted early to prevent aspiration and manage gastric distension.
B. Initiate fluid therapy: Fluid therapy is crucial and initiated early to combat hypovolemic shock.
C. Insert Foley catheter: A Foley catheter is often inserted early to monitor urine output and assess renal function.
D. Establish airway: Establishing an airway is the highest priority intervention for burn victims, especially if there are signs of inhalation injury.
E. Administer analgesics: Pain management is crucial but is initiated early in the treatment process.
F. Tetanus prophylaxis: Tetanus prophylaxis is important to prevent infection but is typically administered after the immediate life-threatening issues have been addressed.
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