The nurse is providing instructions to a mother of a child with ...

[awywial]

The nurse is providing instructions to a mother of a child with atopic dermatitis (eczema) regarding the application of topical cortisone cream to the affected skin sites.
 
  Which of the following statements, if made by the mother, indicates an understanding of the use of this medication? 1. I shouldn't rub the medication into the skin.
  2. The medication is applied everywhere except the face.
  3. I need to wash the sites gently before I apply the medication.
  4. I need to apply the medication generously and allow it to absorb.

Question 2

The nurse is asked to prepare for the hospital admission of a child with sickle cell disease (SCD) who is being admitted for the treatment of vaso-occlusive pain crisis.
 
  The nurse prepares for the admission, anticipating that which of the following will be prescribed for the child? 1. NPO status
  2. Intravenous (IV) fluids
  3. Meperidine (Demerol) for pain
  4. Intubation for the administration of oxygen

[xthemafja]

Answer to Question 1

3

Rationale: Topical corticosteroids should be applied sparingly and rubbed into the area thoroughly. The affected area should be cleansed gently prior to application. It should not be applied everywhere or over extensive areas. Systemic absorption is more likely to occur with extensive application. It is applied to the affected sites.

Answer to Question 2

2

Rationale: IV fluid and increased oral fluids are a component of the treatment plan for the child with vaso-occlusive crisis. Management of the severe pain that occurs with vaso-occlusive crisis includes the use of opioid analgesics, such as morphine sulfate and hydromorphone. Demerol is contraindicated because of its side effects and the increased risk of seizures with its use. Oxygen is administered when hypoxia is present and the oxygen saturation level is less than 95. Intuba-tion is not necessary to treat vaso-occlusive crisis.