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 B

Explanation

A. Assist with reality orientation: Reality orientation is more suitable for psychotic disorders or delirium.

B. Coach in deep breathing: Deep breathing helps to calm the patient and reduce the physiological symptoms of a panic attack.

C. Assist with rational thought: Rational thought is difficult to achieve during a panic attack; calming measures are more appropriate.

D. Aid in decision making: Decision-making assistance is not practical during a panic attack when the patient is highly distressed.

A. Dermis B. Superficial fascia C. Epidermis D. Loose connective tissue

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.

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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

When a patient is experiencing a panic attack, how should the nurse best assist the patient?

Correct Answer is B

Explanation

Melanocytes give rise to the pigment melanin, which is responsible for skin color. Where can the melanocytes be found?

Correct Answer is D

Explanation

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