ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
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, resulting in bleeding. History of allergic rhinitis. Assessment: Child alert, respiratory rate 24/min, no adventitious sounds, heart rate 108/min, generalized reddish scaly patches with lichenifications and depigmentation on bilateral extremities. Medication: Diphenhydramine 10 mg PO 4 times per day, Pimecrolimus 1% cream daily
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.
Correct Answer: A,B,C,D,E
Rationale:
To properly care for a child with a skin condition, the nurse should include the following instructions in the discharge plan:
A: Cutting and filing fingernails can prevent scratching and further skin irritation.
B: Emollients help maintain skin moisture and prevent dryness.
C: Gloves can protect the skin and prevent scratching, especially at night.
D: Using a mild detergent reduces the risk of skin irritation from harsh chemicals.
E: Informing about occasional flare-ups prepares the guardian for managing the condition's fluctuations.
Rationale for incorrect choices:
F: The condition is not contagious, so this statement is incorrect.
G: Pimecrolimus cream is not typically recommended as a first-line treatment for most skin conditions.
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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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