A client with contact dermatitis tells the nurse about scratching the skin raw at night from the itching on the left leg. The nurse advises the client to:
1. Restrict fluids.
2. Wear cotton gloves during sleep.
3. Bathe every day.
4. Apply a lotion containing alcohol to the affected area.
2. Wear cotton gloves during sleep.
Rationale:
Cotton gloves may be worn at night if scratching during sleep causes skin excoriation. The nurse should suggest that the client wear cotton gloves during sleep. The client should maintain good hydration; there is no need to restrict fluids. It is not necessary to take a bath every day. The client should avoid lotions containing alcohol.
You might also like to view...
A registered nurse (RN) is watching a nursing student change a dressing and perform care around a Penrose drain. What action by the student warrants intervention by the RN?
a. Cleaning around the drain per agency protocol b. Placing a new sterile gauze under the drain c. Securing the drain's safety pin to the sheets d. Using sterile technique to empty the drain
The spouse of a patient being cared for at home by hospice angrily tells the nurse, "Care provided by the aide is inadequate, so I must do everything myself. Why is this happening? Can't someone help?" The hospice nurse should:
a. provide teaching about anticipatory grieving. b. assign new hospice personnel to the case. c. refer the spouse for crisis intervention. d. arrange hospitalization for the patient.
A victim of a motor vehicle crash is being cared for by the rescue team. Assuming that the victim has a spinal cord injury (SCI) what should be the initial priority action?
1. Placing the client on a board 2. Placing a collar on the client before moving 3. Assessing and maintaining the airway 4. Stopping any bleeding
When discontinuing an IV, the nurse will:
1. remove the dressing, remove the catheter, dispose of the used equipment in the "sharps" container, and chart observations and actions. 2. observe the site for redness, swelling, and pain and put on sterile gloves. Remove the dressing catheter and chart findings and action. 3. observe the site for redness, swelling, and pain and put on clean gloves. Remove the dressing and catheter, place a 2 ? 2 dressing over the site, and chart findings and action. 4. observe the site for redness, swelling, and pain and put on clean gloves. Remove the dressing and catheter; chart findings and action.