An eighth-grade student appears in the school office with a skin manifestation that itches. He states that it began on the way to school after he took a shortcut through a field. The nurse performs a skin assessment and finds areas of erythema with streaks and patches on both legs. She determines that he is exhibiting signs of contact dermatitis. What is the first action that the nurse should take?

Alert the child's parents.

Apply cool, wet compresses.

Contact medical help by notifying the child's health care provider

Wash the area thoroughly with soap and water.

Answer and Explanation

The Correct Answer is D

A.   While it may be important to inform the parents later, this is not the immediate priority. The first step should be to assess and manage the current situation before involving the parents.
B.   This is a reasonable action to help soothe the itching and irritation caused by contact dermatitis. However, before applying compresses, it’s crucial to ensure that the area is clean and that there is no potential for worsening the condition.
C.   This may be necessary if the reaction is severe or worsening, but in this case, the student is exhibiting signs consistent with contact dermatitis, which can often be managed effectively at school without immediate medical intervention.
D.   Washing the affected area with soap and water helps remove any potential irritants or allergens that may be causing the dermatitis. This action can help prevent the condition from worsening and relieve some of the symptoms.

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Correct Answer is D

Explanation

A. While allergies can impact a patient's overall health, they are not directly related to the development of peptic ulcer disease. Allergies do not contribute to the mechanisms that cause ulcers, such as increased stomach acid or mucosal damage.
B. Poor oral hygiene can lead to dental problems and infections, but it is not a recognized risk factor for peptic ulcer disease. The main causes of peptic ulcers are related to factors that affect the stomach lining, such as certain medications, lifestyle choices, and infections.
C. While diet can influence gastrointestinal health, sugary foods are not a primary risk factor for peptic ulcers. The role of sugar in ulcer development is not well established compared to other factors, such as the use of certain medications or the presence of H. pylori infection.
D. This statement is correct and is a significant risk factor for developing peptic ulcer disease. NSAIDs can cause irritation of the stomach lining and inhibit the production of protective mucus, leading to ulcer formation. Chronic use of NSAIDs is one of the most common causes of peptic ulcers.

A. Eye drops to constrict the pupils will be prescribed. B. Restrict head movement. C. Apply cool compresses. D. Keep both eyes patched.

Correct Answer is B

Explanation

A. This is not a typical preoperative instruction for retinal detachment surgery. Pupil constriction is not directly related to the procedure.
B. This is crucial to prevent further damage to the retina. Sudden head movements can exacerbate the detachment.
C. Cool compresses are not typically recommended before retinal detachment surgery. They may not have a significant impact on the condition.
D. While eye patches might be used post-operatively to protect the eyes, it's not a common preoperative instruction.

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Naxlex Comprehensive Predictor Exams

The nurse is conducting an initial interview, which specific data would be a priority risk factor for developing peptic ulcer disease?

Correct Answer is D

Explanation

A nurse is talking with a client who is scheduled for surgery to repair retinal detachment. Which of the following preoperative instructions should the nurse include?

Correct Answer is B

Explanation

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