The mother asks the nurse for a steroid cream to put on her infant's diaper rash. What teaching will the nurse provide the mother? (Select all that apply.)
A) "Topical corticosteroids are very effective treatment for diaper rash."
B) "Topical corticosteroid application should not be occluded with a diaper."
C) "Topical corticosteroids should not be applied to open lesions."
D) "Use of topical corticosteroids should be limited in children."
E) "Topical corticosteroids should be applied in a thick coat to the rash."
B, C, D
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Topical use of corticosteroids should be limited in children because their body surface area is comparatively large and the amount of the drug absorbed in relation to weight is greater than in an adult. When the medication is used in children, it should be applied sparingly and the area should not be occluded with a diaper. The nurse should not make a judgment nor should he or she allow a patient or family member to dictate a treatment just because he or she wants it. More effective treatments for diaper rash than corticosteroids are available.
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