The school nurse is seeing a child who collected some poison ivy leaves during recess. He says only his hands touched it. What is the most appropriate nursing action?
a. Soak his hands in warm water.
b. Apply Burow's solution compresses.
c. Rinse his hands in cold running water.
d. Scrub his hands thoroughly with antibacterial soap.
ANS: C
The first recommended action is to rinse his hands in cold running water within 15 minutes of exposure. This will neutralize the urushiol not yet bonded to the skin. Soaking his hands in warm water is effective for soothing the skin lesions after the dermatitis has begun. Antibacterial soap removes protective skin oils and dilutes the urushiol, allowing it to spread.
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