The nurse is planning care for a client with contact dermatitis. ...

[RYAN BANYAN]

The nurse is planning care for a client with contact dermatitis. Which interventions should be included in this plan of care? Select all that apply.
 
  A) Provide instruction in washing clothes in bleach and hot water.
  B) Instruct to avoid perfumes and lotions containing alcohol.
  C) Provide instruction in the use of hot water and soap to bathe the body.
  D) Teach the client the need to keep the skin dry.
  E) Stress the importance of utilizing prescribed medication for the entire course.

Question 2

The nurse is planning care for a client with a large area of erythema, swelling, and pruritic lesions on the hands and arms. Which nursing diagnosis should the nurse use to guide this client's care?
 
  A) Impaired Social Interaction
  B) Anxiety
  C) Impaired Skin Integrity
  D) Situational Low Self-Esteem

[emilymalinowski12]

Answer to Question 1

Answer: B, E

Clients should be instructed to use prescribed medications for the entire course. Stopping the treatment too soon could cause rebound dermatitis. The client should also be instructed to avoid perfumes and lotions containing alcohol because these will contribute to skin dryness. The client should be instructed to use tepid water and mild soap to bathe. The skin should be kept lubricated to prevent dryness and itching. Clothing should be washed in mild soap and rinsed an extra time to remove all soap.

Answer to Question 2

Answer: C

The client is experiencing manifestations of contact dermatitis. The nursing diagnosis that is the most appropriate for this client is Impaired Skin Integrity. If left untreated, the client could develop impaired social interaction, situational low self-esteem, or anxiety.

[RYAN BANYAN]

Gracias!

[yeungji]

Excellent