The nurse is assessing a 4-year-old child with eczema. The child's skin is dry and scaly, and the mother reports that the child frequently scratches the lesions on the skin to the point of causing bleeding. Which guideline is indicated for care of this child?
Apply baby lotion to the skin twice daily.
Bathe the child daily with bath oil.
Allow the child to wear only 100% cotton clothing.
Keep the nails trimmed short.
The Correct Answer is D
Keeping the child's nails trimmed short helps minimize the risk of further skin damage and infection resulting from scratching. It reduces the likelihood of breaking the skin and causing bleeding. This preventive measure can help protect the child's skin and promote healing. It is important to combine nail trimming with other appropriate interventions for managing eczema, such as moisturizing the skin, avoiding irritants, and following the healthcare provider's recommendations for treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect- While physical soothing can help comfort the child after the injections, it may not significantly reduce the duration of pain during the injections themselves.
B) Incorrect- Verbal reassurance is important to provide a calming environment, but it may not directly reduce the duration of pain during the injections.
C) Correct- Administering vaccines can be distressing for toddlers due to the pain associated with injections. To reduce the duration of pain and minimize the overall discomfort, the nurse should prioritize the strategy of simultaneous injections. This involves administering multiple vaccines at the same time rather than spacing them out. The rationale behind this approach is that the child experiences the discomfort of the injections only once, which can help reduce their overall distress and anxiety.
D) Incorrect- The positioning of the child may not have a direct impact on the duration of pain during injections. However, choosing an appropriate position for comfort is still important.
Correct Answer is D
Explanation
A) Incorrect- This test is used to assess for infection or inflammation and is not specifically related to monitoring diabetes insipidus.
B) Incorrect- This test is used to monitor blood sugar levels in individuals with diabetes mellitus, not diabetes insipidus.
C) Incorrect- While urine specific gravity can provide information about urine concentration, it is not the most important laboratory test to monitor in a client with diabetes insipidus. Serum sodium level is a more critical indicator of electrolyte balance and potential complications in DI.
D) Correct- Diabetes insipidus (DI) is a condition characterized by excessive thirst and urination due to the body's inability to regulate fluid balance. In DI, the body either lacks antidiuretic hormone (ADH), which regulates water reabsorption in the kidneys, or the kidneys are resistant to its effects. As a result, clients with DI can produce large volumes of dilute urine. The most significant concern in DI is the potential for electrolyte imbalances, particularly low serum sodium levels (hyponatremia). Excessive loss of water in the urine can lead to dehydration and concentration of the blood's sodium levels. This can result in neurological symptoms, such as confusion, seizures, and even coma. Monitoring the serum sodium level is crucial to ensure that it remains within a safe range.
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