ATI RN Pediatric Nursing 2023

Extract:

The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis. Assessment: Child is alert and responsive, Respiratory rate even and nonlabored at rate of 24/min. No adventitious sounds auscultated, Heart rate 108/min, Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities.

Question 1 of 5

Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.

A. You should cut and file your child's fingernails frequently. B. You should use a mild detergent for your child's laundry. C. You should apply a thick layer of pimecrolimus cream to your child's lesions. D. Your child will experience occasional flare-ups of this condition. E. Your child's condition is contagious when lesions are present. F. You can apply gloves to your child's hands. G. You should apply emollients to your child's skin after bathing.

Correct Answer: A,B,D,F,G

Rationale:
Step 1: Cutting and filing the child's fingernails frequently (
Choice
A) is important to prevent scratching and further aggravating the lesions, promoting healing.

Step 2: Using a mild detergent for the child's laundry (
Choice
B) is essential to avoid skin irritation and exacerbation of the condition.

Step 3: Informing the guardian that the child will experience occasional flare-ups (
Choice
D) prepares them for potential worsening of symptoms and the need for prompt intervention.

Step 4: Applying gloves to the child's hands (
Choice F) can protect the lesions from scratching, prevent infection, and aid in the healing process.

Step 5: Applying emollients to the child's skin after bathing (
Choice G) helps maintain skin hydration, soothes irritation, and supports the skin barrier function.
Summary:
Choice A, B, D, F, and G are correct as they address important aspects of managing the child's condition and promoting healing.

Choices C and E are incorrect

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Question 2 of 5

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Question 5 of 5

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ATI RN Pediatric Nursing 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN