A teenager with a history of recurring atopic dermatitis (eczema) tells the school nurse of a desire to play high school sports.
Which action should the nurse take?
Advise the teenager to shower with non-perfumed soaps immediately after practice.
Inform the parents of problems associated with perspiration for those with eczema.
Inform the athletic coach of the teenager’s skin condition and its manifestations.
Encourage the teenager to join the swim team instead of an outdoor sport.
The Correct Answer is A
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Showering with non-perfumed soaps immediately after practice is a good practice for a teenager with a history of recurring atopic dermatitis (eczema) who wants to play high school sports. Heat and humidity can cause perspiration, which intensifies itching with atopic dermatitis (eczema), so the client should be encouraged to shower, using non-perfumed soaps, as soon as possible after physical activity to remove perspiration.
Choice B rationale
Informing the parents of problems associated with perspiration for those with eczema is also important. However, this does not directly address the teenager’s desire to play sports. It’s more of a secondary action that supports the primary action of managing the condition.
Choice C rationale
Informing the athletic coach of the teenager’s skin condition and its manifestations could be helpful in ensuring that the coach understands the teenager’s needs and can support them appropriately. However, this is not the most direct action that the nurse can take to help the teenager manage their condition while playing sports.
Choice D rationale
Encouraging the teenager to join the swim team instead of an outdoor sport could potentially reduce exposure to triggers for eczema flares, such as sweat and heat. However, chlorine in swimming pools can also be a trigger for some people with eczema. Therefore, this option might not be the best for everyone and should be considered on an individual basis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While older adults living in subsidized housing near an airport may have exposure to various environmental hazards, lead poisoning is not typically associated with these conditions. Lead poisoning is more commonly associated with exposure to lead-based paint, which is often found in older homes.
Choice B rationale
Young adults who frequently camp and hike in remote desert areas are not typically at high risk for lead poisoning. Lead exposure is more commonly associated with certain occupational environments and older residential buildings.
Choice C rationale
While a diet high in fish and other seafood can expose individuals to certain environmental contaminants, lead poisoning is not typically associated with these food sources. Lead exposure is more commonly associated with certain occupational environments and older residential buildings.
Choice D rationale
Families with young children living primarily in 100-year-old farmhouses would likely benefit most from a lead poisoning education and screening program. Older homes, particularly those built before 1978, often contain lead-based paint, which can pose a significant risk for lead poisoning, especially in young children.
Correct Answer is ["A","B","C","D","E"]
Explanation
Answer and explanation
The correct answers are Choices A, B, C, D, and E.
Choice A rationale
Feeding assistance may be necessary for an older adult with Parkinson’s disease due to motor symptoms like tremors or stiffness that can make self-feeding difficult. Special utensils and other dining aids can help these individuals maintain their independence during meals.
Choice B rationale
People with Parkinson’s disease can experience changes in their skin, such as becoming oily or flaky. While the term “fragile skin” is not typically used in the context of Parkinson’s, these individuals may have skin that is more susceptible to damage due to these changes.
Choice C rationale
Parkinson’s disease often leads to motor symptoms such as stiff muscles and balance impairment, which can increase the risk of falls. Therefore, measures to prevent falls should be a key part of the care plan for an older adult with Parkinson’s disease.
Choice D rationale
Chronic pain is twice as common in people with Parkinson’s disease as it is in people without the condition. This pain can be caused by various factors, including muscle stiffness and dystonia (painful muscle spasms), and should be addressed in the client’s care plan.
Choice E rationale
Depression is more common in people with Parkinson’s disease compared to the general population. It’s important to monitor for signs of depression in these individuals and provide appropriate treatment if necessary.
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