Difficulty: Medium
Average Score: 70%
Simulated
Passage / Scenario
Nurses' Notes: The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis. Medication Administration Record: Diphenhydramine 10 mg PO 4 times per day, Pimecrolimus 1% cream apply to skin lesions daily. Assessment: Child is alert and responsive. Respiratory rate even and nonlabored at rate of 24/min. No adventitious sounds auscultated. Heart rate 108/min. Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities.Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.
Correct answer
A,B,D,F,G
Rationale
The correct statements to include in the discharge instructions are A, B, D, F, and G.
A: Cutting and filing the child's fingernails frequently can help prevent scratching and worsening of lesions.
B: Using a mild detergent reduces the risk of skin irritation for the child.
D: Informing the guardian about occasional flare-ups prepares them for potential worsening of the condition.
F: Gloves can help protect the child's hands from further irritation and prevent spreading of the condition.
G: Applying emollients after bathing helps keep the child's skin moisturized and can alleviate symptoms.
These choices focus on practical care strategies and education to manage the child's condition effectively.
A: Cutting and filing the child's fingernails frequently can help prevent scratching and worsening of lesions.
B: Using a mild detergent reduces the risk of skin irritation for the child.
D: Informing the guardian about occasional flare-ups prepares them for potential worsening of the condition.
F: Gloves can help protect the child's hands from further irritation and prevent spreading of the condition.
G: Applying emollients after bathing helps keep the child's skin moisturized and can alleviate symptoms.
These choices focus on practical care strategies and education to manage the child's condition effectively.