The nurse is assessing a 4-year-old client with eczema. The child's skin is dry and scaly, and the parent 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.

Keep the nails trimmed short.

Allow the child to wear only 100% cotton clothing.

Bathe the child daily with bath oil.

Answer and Explanation

The Correct Answer is B

A. While applying lotion can help keep the skin moisturized, it may not prevent scratching or bleeding from lesions.

B. Keeping the nails trimmed short is essential to prevent the child from scratching the lesions, which can lead to further irritation and potential infection. Short nails reduce the risk of breaking the skin and causing bleeding.

C. While cotton clothing is less irritating and may help manage eczema, ensuring that the child does not scratch the lesions is more critical in this scenario.

D. Daily baths can be beneficial, but they should not be done excessively as they can further dry the skin. Bath oils may help, but they do not directly address the issue of scratching.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Asking about sundowning may provide some insights into the client's cognitive state, but it is not directly related to the current concerns of weight loss, energy, and appetite.

B. Requesting the client to lie still is unnecessary and may hinder the assessment of their overall functional status and mobility.

C. Discussing end-of-life care options may be appropriate in certain contexts, but it is not a priority in assessing immediate functional status and nutritional concerns.

D. Questioning the client about the frequency of falls is crucial, as it may indicate underlying health issues that could be contributing to weight loss, decreased energy, and potential mobility challenges.

A. Measure the vital signs. B. Assist to a high Fowler's position. C. Initiate deep breathing exercises. D. Auscultate breath sounds.

Correct Answer is B

Explanation

A. Measuring vital signs is essential but does not address the immediate respiratory distress the client is experiencing.

B. Assisting the client to a high Fowler's position can significantly improve respiratory effort by allowing for better lung expansion and reducing pressure on the diaphragm.

C. While deep breathing exercises can be beneficial, they should be initiated after ensuring the client is in a position that facilitates easier breathing.

D. Auscultating breath sounds is necessary for further assessment, but prioritizing the client's comfort through positioning is the immediate action to take.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is assessing a 4-year-old client with eczema. The child's skin is dry and scaly, and the parent 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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing a functional assessment on an older client who lost five pounds (2.27 Kg) of weight since the last visit 12 weeks ago, and who reports a decrease in energy and appetite. Which action should the nurse include during the assessment?

Correct Answer is D

Explanation

The nurse observes that a client with ascites is dyspneic. Which action should the nurse implement first?

Correct Answer is B

Explanation

The nurse is developing an educational program for older adult clients who are being discharged with new antihypertensive medications. The nurse should ensure that the educational materials include which characteristic(s)? Select all that apply.

While preparing to administer a scheduled IV medication, the client tells the nurse that the IV site hurts and refuses to allow the nurse to administer a flush to assess the site. Which intervention should the nurse implement?

After inflating a blood pressure cuff and releasing the valve, the nurse hears silence followed by a Korotkoff sound. Which action should the nurse take next?

An older adult client with dementia who is refusing to allow an unlicensed assistive personnel (UAP) to assist in bathing, is becoming increasingly agitated and stating the UAP "wants to hurt me and fie me up." Which approach should the nurse use with the client?

A client with a history of inflammatory bowel disease develops severe ulcerative colitis and is admitted to the intensive care unit after surgery for a fistula repair. Which intervention is most important for the nurse to include in the plan of care?

The charge nurse observes a new nurse preparing to irrigate an intravenous catheter. The new nurse brought a luer-lock-tipped syringe. Which action should the charge nurse take?

An older adult client who fell at the store is admitted with a possible fracture of the right hip. Which assessment finding should the nurse report to the healthcare provider?