Author Question: The nurse is discussing the management of atopic dermatitis (eczema) with a parent. What should be ... (Read 117 times)

colton · **on:** Jun 28, 2018

The nurse is discussing the management of atopic dermatitis (eczema) with a parent. What should be included?

a. Dress infant warmly to prevent chilling.
b. Keep the infant's fingernails and toenails cut short and clean.
c. Give bubble baths instead of washing lesions with soap.
d. Launder clothes in mild detergent; use fabric softener in the rinse.

Question 2

The diagnosis of hypertension depends on accurate assessment of blood pressure (BP). What is the appropriate technique to measure a child's BP?

a. Assess BP while the child is standing.
b. Compare left arm with left leg BP readings.
c. Use a narrow cuff to ensure that the readings are correct.
d. Measure BP with the child in the sitting position on three separate occasions.

xMRAZ · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
The infant's nails should be kept short and clean and have no sharp edges. Gloves or cotton socks can be placed over the child's hands and pinned to the shirt sleeves. Heat and humidity increase perspiration, which can exacerbate the eczema. The child should be dressed properly for the climate. Synthetic material (not wool) should be used for the child's clothing during cold months. Baths are given as prescribed with tepid water, and emollients such as Aquaphor, Cetaphil, and Eucerin are applied within 3 minutes. Soap (except as indicated), bubble bath oils, and powders are avoided. Fabric softener should be avoided because of the irritant effects of some of its components.

Answer to Question 2

ANS: D
The diagnosis of hypertension is made after the BP is elevated on three separate occasions. Take the BP in a quiet area with the appropriate size cuff and the child sitting. Although left arm and left leg BP readings may be compared, it is not the procedure to diagnose hypertension. The appropriate size cuff is indicated. The most common cause of inaccurate readings is the use of a cuff that is too small.