Dermititis

A nurse is caring for a child with atopic dermatitis (eczema). Which of the following interventions should be included in the nursing care plan to promote skin hydration and prevent flare-ups? Select all that apply.

• A. Bathe the child twice daily in hot water.

• B. Use a mild, fragrance-free soap to clean only the dirty areas.

• C. Rub the child's skin vigorously with a towel after bathing.

• D. Apply prescribed topical corticosteroids or immune modulators to affected areas.

• E. Use moisturizers such as Vaseline or Aquaphor all over the child's body.

A 6-month-old infant is brought to the clinic with a history of dry, scaly skin and continuous scratching. The nurse suspects atopic dermatitis. Which of the following findings would support this diagnosis? Select all that apply.

• A. Rash primarily on the face and scalp.

• B.Presence of dry, flaky skin with lichenification.

• C. Hyperpigmented areas around the affected skin.

• D. Presence of fluid-filled vesicles on the extremities.

A child is brought to the clinic with an intensely itchy rash that appeared 36 hours after a hiking trip. The nurse suspects contact dermatitis from poison ivy exposure. Which of the following statements should be included in the nurse's teaching to the parents? Select all that apply.

• A. "The rash can spread to other parts of the body through scratching."

• B. "Wash the affected area with mild soap and water daily."

•  C. "Apply topical corticosteroids as directed to reduce inflammation."

• D. "Use hot baths to soothe the itching."

• E. "Avoid using topical antihistamines or benzocaine on the rash."

Which of the following are common triggers for contact dermatitis in children? Select all that apply.

• A. Nickel or cobalt found in clothing hardware and dyes.

•  B. Chemicals found in many hygiene products and cosmetics.

• C. Food allergies, such as eggs and peanuts.

• D. Highly allergenic plants like poison ivy, oak, and sumac.

• E. Excessive sun exposure without proper protection.

A parent asks for advice on preventing and managing diaper dermatitis for their infant. Which of the following suggestions should the nurse provide? Select all that apply.

• A. Change diapers frequently and as soon as possible after they are soiled.

• B. Use rubber pants over the diaper to keep the area dry.

•  C. Gently wash the diaper area with a soft cloth and avoid harsh soaps.

• D. Use baby wipes that contain fragrance or preservatives for better cleaning.

• E. Allow the infant to go diaperless for a period each day to help the rash heal.