Author Question: A child has eczema. Which of the following would be an appropriate nursing intervention to include ... (Read 83 times)

Collmarie · **on:** Jun 28, 2018

A child has eczema. Which of the following would be an appropriate nursing intervention to include in the care of this child?

1. Applying hydrocortisone ointment 1 per order
2. Applying nystatin topical ointment per order
3. Applying lotrimin ointment per order
4. Applying silvadene cream per order

Question 2

The nurse is planning care for a 3-month-old infant with eczema. Which of the following would take top priority in this infant's care?

1. Maintaining adequate nutrition
2. Keeping the baby content
3. Preventing infection of lesions
4. Applying antibiotics to lesions

hugthug12 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

1
Rationale:
1. Topical corticosteroids are used to reduce inflammation when the child has eczema. Hydrocortisone 1 is usually the drug of choice.
2. Nystatin and lotrimin ointments are used to treat fungal infections. Topical corticosteroids, such as hydrocortisone 1, are used to reduce inflammation in the child with eczema.
3. Nystatin and lotrimin ointments are used to treat fungal infections. Topical corticosteroids, such as hydrocortisone 1, are used to reduce inflammation in the child with eczema.
4. Silvadene cream is used for burns. Topical corticosteroids, such as hydrocortisone 1, are used to reduce inflammation in the child with eczema.

Answer to Question 2

3
Rationale:
1. Maintaining adequate nutrition is important, but not as high a priority. Due to impaired skin barrier function and cutaneous immunity, an infant with eczema is at greater risk for the development of skin infection.
2. Keeping the infant content is not as high a priority as is prevention of infection. An infant with eczema is at a greater risk for the development of skin infection.
3. Nursing care should focus on preventing infection of lesions. Due to impaired skin barrier function and cutaneous immunity, an infant with eczema is at greater risk for the development of skin infections by organisms.
4. Antibiotics are not routinely applied to the lesions, since the lesions are not related to infection. However, impaired skin barrier function and cutaneous immunity place the infant at greater risk for the development of skin infection.