Following a camping trip, a client returns with multiple "bug bites" and skin rashes. The nurse should encourage which of the following interventions to decrease pruritus to prevent further spread of the rashes? Select all that apply

Question

A) Obtain a prescription for opioids, so the client can sleep uninterrupted.
B) Rub areas with the hand rather than using long fingernails.
C) Take lots of very warm, soothing oatmeal baths.
D) Use topical corticosteroid creams.
E) Take antihistamines like Benadryl, especially at bedtime.

Answer 1

Ans: B, D, E
Feedback:
Pruritus, or the unpleasant sensation of itch, is a symptom common to many skin disorders leading to the desire to scratch. Measures such as using the entire hand to rub over large areas and keeping the fingernails trimmed often can relieve itch and prevent skin damage. Self-limited or seasonal cases of pruritus may respond to treatment measures such as moisturizing lotions, bath oils, and the use of humidifiers. Because vasodilation tends to increase itching, cold applications may provide relief. Cool showers before bed, light sleepwear, and cool home temperatures also may be helpful. Mild cutaneous disorders, such as bug bites, are mediated by histamine; therefore, topical antihistamines tend to be the treatment of choice. Topical corticosteroids are effective as antipruritics, particularly when used for urticaria (hives) or insect bites. Opioids are for pain control and not itching. Very warm baths would increase the itching rather than decrease it.