A preschool child is found to have atopic dermatitis. The nurse emphasizes that the child should be discouraged from scratching. The child's mother asks why scratching should be avoided. Which response by the nurse is appropriate?

Correct Answer: C

Rationale: The correct answer is C: Scratching results in skin breaks that can lead to infection. Scratching atopic dermatitis can damage the skin barrier, leading to open wounds that are susceptible to infection. B is incorrect because scratching does not spread dermatitis to other areas. A is incorrect as dermatitis is not contagious through scratching. D is incorrect as scratching does not directly lead to skin cancer. It is important to educate the mother on the importance of preventing infection by avoiding scratching.

Correct Answer: D

Rationale: The correct answer is D: All of the above. Skin appendages include hair, nails, sweat glands, sebaceous glands, apocrine glands, and ceruminous glands. Hair, nails, and glands (sweat, sebaceous, apocrine, ceruminous) are all considered skin appendages as they originate from the epidermis or dermis. These structures serve various functions such as thermoregulation, protection, sensation, and secretion. Therefore, option D is the correct answer as it encompasses all the different types of skin appendages. Options A, B, and C are incorrect as they do not include all the types of skin appendages listed in the question.

Correct Answer: C

Rationale: The correct answer is C: Left-sided flank pain. This symptom can indicate a possible kidney involvement, such as pyelonephritis, which is a serious complication of a bladder infection. It is important to report this symptom promptly to the healthcare provider for further evaluation and treatment to prevent complications. The other choices, Dysuria (A), Hematuria (B), and Temp 100.1F (D), are common symptoms of a bladder infection but do not suggest kidney involvement or a more severe condition requiring immediate attention.

Correct Answer: A

Rationale: The correct answer is A: Ask if the weight loss was intended. This is the best action because unintentional weight loss in an obese client may indicate underlying health issues. By asking if the weight loss was intended, the nurse can assess if there are any concerning factors contributing to the weight loss. Summary of other choices: B: Encouraging a high-protein, high-fiber diet may be beneficial for weight management but does not address the potential underlying causes of weight loss. C: Measuring for new compression stockings is not the priority when assessing unintended weight loss. D: Reviewing a 3-day food diary is important for overall nutrition assessment but does not directly address the reason for the weight loss.

Correct Answer: D

Rationale: The correct answer is D because the integument, which includes the skin, hair, and nails, performs various functions such as protection, temperature regulation, sensation, and vitamin D production. It acts as a barrier against pathogens and UV radiation, regulates body temperature through sweat production, and contains sensory receptors for touch, pressure, and temperature. Choices A, B, and C are incorrect because while the integument does give shape to the body, protect the body, and contain growth inhibitors to some extent, these functions alone do not fully encompass the wide range of roles performed by the integument.