A nurse is providing teaching to a parent of a preschooler who has eczema. What instruction should the nurse include in the discharge teaching?
Apply a topical corticosteroid ointment to the affected area.
Give the child a bubble bath every day.
Rub the skin until completely dry before applying lubricants.
Launder the child's clothing with fabric softener.
The Correct Answer is A
Rationale:
A. Topical corticosteroid ointments are commonly used to reduce inflammation and treat flare-ups in children with eczema. The nurse should instruct the parent on the proper use of these medications.
B. Bubble baths can be irritating to the skin and should be avoided, especially in children with eczema, as they can exacerbate dryness and irritation.
C. The skin should be patted dry rather than rubbed, and moisturizers should be applied while the skin is still slightly damp to help retain moisture.
D. Fabric softeners can be irritating to sensitive skin and are not recommended for laundering the clothing of children with eczema.
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Correct Answer is D
Explanation
Rationale:
A. Prone positioning is not recommended post-operatively for abdominal surgery and could exacerbate respiratory issues.
B. While monitoring white blood cell count is important, encouraging lung expansion and preventing complications such as atelectasis is a more immediate priority.
C. The client's pain rating is low and does not necessitate immediate administration of acetaminophen.
D. Encouraging the use of an incentive spirometer helps improve lung expansion, which is crucial to prevent atelectasis and promote proper oxygenation, particularly when breath sounds are diminished.
Correct Answer is C
Explanation
Rationale:
A. A complete blood count is not specifically required before administering the rubella vaccine.
B. Lead screening is not related to rubella vaccination and is not required for this purpose.
C. The rubella vaccine is a live attenuated vaccine, and it is important to ensure that the patient is not pregnant because the vaccine could potentially harm the fetus. Therefore, a pregnancy test is a necessary precaution.
D. Tuberculosis screening is not related to the rubella vaccination and is not required for this purpose.