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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ensuring the client takes a diuretic every morning is the first intervention because it addresses fluid overload, which is indicated by the significant weight gain and elevated blood pressure. Diuretics help reduce excess fluid and alleviate symptoms of SIADH.
B. Measuring ankle circumference is useful for assessing edema but is not the immediate priority compared to addressing fluid overload through diuretics.
C. Monitoring daily sodium intake is important for managing SIADH, but the priority is to manage the fluid overload first.
D. Obtaining serum creatinine levels daily is part of monitoring kidney function, but it is not the immediate concern compared to managing fluid balance in this context.
Correct Answer is A
Explanation
A. Watery diarrhea is a critical finding as it may indicate a possible Clostridium difficile infection, which can occur with antibiotic use and requires prompt attention.
B. Increased fatigue is concerning but may not indicate an immediate complication related to linezolid.
C. Nausea and headache are common side effects and may not necessitate immediate reporting unless they are severe.
D. Yellow-tinged sputum can indicate an ongoing infection but is less urgent compared to the potential implications of watery diarrhea.
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