ATI RN
RN ATI Pediatric Nursing 2023 with NGN Questions
Extract:
A nurse in the emergency department is preparing to discharge a 3-year-old child. Nurse's Notes: The child's guardian states the child has been unable to sleep recently and has been very irritable. The guardian expresses concern about the child's atopic dermatitis worsening, and the child scratching excessively, which results in bleeding areas. The guardian states the child has a history of allergies and rhinitis. Medication Administration Record: Diphenhydramine 10 mg PO, 4 times per day. Pimecrolimus 1% cream, apply to skin lesions daily. Assessment: Child is alert and responsive. Respiratory rate is even and monitored at 24/min. No adventitious sounds auscultated. Heart rate: 108/min. Generalized small clusters of reddish, scaly patches with lichenification 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?
Correct Answer: A,B,C,E,F
Rationale: The correct answers are A, B, C, E, and F.
A: Applying emollients after bathing helps moisturize the skin, which is beneficial for the child's condition.
B: Cutting and filing fingernails frequently can prevent scratching and potential skin damage.
C: Informing the guardian about occasional flare-ups helps manage expectations and preparedness.
E: Applying gloves can protect the child's hands from irritants or scratching, aiding in the healing process.
F: Applying a thin layer of prescription cream to lesions as instructed by a healthcare provider helps manage the condition effectively.
These choices promote skin care, prevention of skin damage, awareness of condition management, protection of skin, and proper medication application.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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