A patient has pruritic skin. Which of the following nursing interventions would not apply for this patient?
a. administration of anti-inflammatory agents as indicated
b. administration of antihistamines as indicated
c. use of soothing agents such as oatmeal baths
d. use of alcohol to prevent infection of the skin
D
Management strategies include routine use of emollients to keep the skin soft and supple, and use of soothing agents such as oatmeal baths during episodes of itching. Itching that does not respond to simple strategies mandates a dermatologic referral and may require treatment with anti-inflammatory agents or antihistamines. Alcohol will further dry the skin and should be avoided.
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The nurse working in a clinic is approached by the mother of four children who are all overweight
The mother, from a culture different from the nurse's, says she knows the children's health is negatively impacted by their obesity, and asks for help in changing their diet. Which of the following statements would demonstrate cultural competence in helping this mother? 1. "Here is the diet plan your children should be on." 2. "Because your children are overweight, I'd like to work with you and explain some of the problems they could develop." 3. "We are going to change your family's eating and exercise habits to improve the health of your children." 4. "In order to improve the health of the children, it will be important to reduce caloric intake and increase exercise. What kinds of foods do your children like?"
The nurse frequently discusses personal, sensitive topics with clients of both genders. How should the nurse proceed in these conversations?
1. Understand that females use communication to establish independence and status. 2. Be assured that there is no difference between men and women in communication. 3. Women are always more emotional in such conversations than are men. 4. Males and females tend to communicate differently.
The patient diagnosed with anorectal incontinence should be taught by the nurse to:
1. take a laxative daily. 2. increase fiber in the diet. 3. do pelvic muscle exercises. 4. administer daily enemas.
Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers. What teaching should the nurse practitioner plan for a patient who has a positive Helicobacter pylori test?
A. It is highly contagious and a mask should be worn at home. B. Treatment regimen is multiple lifetime medications. C. Treatment regimen is multiple medications taken daily for a few weeks. D. Treatment regimen is complicated and is not indicated unless the patient is symptomatic.