The nurse is creating a teaching plan for a client with allergic ...

[big1devin]

The nurse is creating a teaching plan for a client with allergic contact dermatitis. Which instructions are appropriate for the nurse to include for this client? Select all that apply.
 
  A) Use the topical steroid for 2 to 3 weeks even when the skin is healing.
  B) Apply a thin film of steroid cream to damp skin area for 2 to 3 weeks.
  C) Apply topical steroid once a day before sleep.
  D) Soak hand in Burow's solution.
  E) Apply a thick layer of steroid cream to dry skin area twice a day for 1 month.

Question 2

The nurse is evaluating care provided to a client with contact dermatitis. Which observation indicates that treatment has been effective?
 
  A) The client is fatigued from inadequate sleep due to pruritus.
  B) The client is observed walking in the hallway.
  C) The client has areas of excoriation on the arms and anterior legs from scratching during sleep.
  D) The client has reduced areas of contact dermatitis with evidence of skin healing.

[Perkypinki]

Answer to Question 1

Answer: A, B

The client should be instructed to apply a thin layer of steroid cream to damp affected skin for 2-3 weeks even when the skin is healing. Applying the steroid once a day before sleep may not be enough. Burow's solution is indicated for irritant contact dermatitis. The steroid cream should not be applied in a thick layer.

Answer to Question 2

Answer: D

Reduced areas of contact dermatitis with evidence of skin healing indicate that treatment for contact dermatitis has been effective. If the client has excoriation from scratching, the treatment has not yet been effective. The client walking in the hallway does not necessarily indicate that treatment was effective. If the client is unable to sleep because of pruritus, treatment has not been effective.

[big1devin]

Thank you

[Perkypinki]

No problemo