The caregivers of a child with chickenpox telephone the nurse and ask what they can do about their child scratching the lesions. The best answer by the nurse would be:
a. "Offer the child a reward for not scratching, and keep a behavioral chart with stars for not scratching."
b. "Wrap tape around the hands and tips of the fingernails, and paint the lesions with clear nail polish."
c. "Put body lotion on the lesions during the day and night, cut the nails short, and use Epsom salts in the bathwater."
d. "Cut the fingernails short, cover the hands at night, and use a drying solution such as calamine, oatmeal, or baking soda in bathwater."
D
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A Incorrect. Answering the caregiver of a child with chickenpox about their child scratching the lesions, the best answer by the nurse would not be offering the child a reward for not scratching. The itch is quite intense, and cannot be addressed with a star reward chart.
B Incorrect. Answering the caregiver of a child with chickenpox about their child scratching the lesions, the best answer by the nurse would not be to tape the hands and paint the lesions with clear nail polish.
C Incorrect. Answering the caregiver of a child with chickenpox about their child scratching the lesions, the best answer by the nurse would not be use body lotion or a bath in Epsom salts.
D Correct. Answering the caregiver of a child with chickenpox about their child scratching the lesions, the best answer by the nurse would be: "Cut the fingernails short, cover the hands at night, and use a drying solution such as calamine, oatmeal, or baking soda in bathwater."
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A 20-year-old patient presents in the emergency room with a temperature of 103 ° F, blood pressure of 92/58, headache, and desquamation of both palms
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An elderly patient with a compression fracture of the spine says, "I've had plenty of pain in my lifetime, but never anything like this. I feel like I'm being stabbed." A nurse could correctly respond:
1. "The type of pain you're feeling is radiating pain. Because the pain originates in a nerve, it spreads to other areas of the body." 2. "The type of pain you're feeling is neuropathic pain. Instead of pain in the surrounding tissue that the nerve is relaying to the brain, it is pain caused by pressure on the nerve itself." 3. "The type of pain you're feeling is deep somatic pain. This is often caused by fractures and is more intense than other kinds of pain." 4. "Your pain must feel more intense than pain you've felt previously because your pain ‘gate' is open. It's possible that massage or a distraction like reading will help the pain."
In regard to safety, compared with the toddler the preschool-aged child is:
a. more prone to falls and more reckless b. about the same, regarding falls and reckless behavior c. more apt to listen to rules and be aware of potential dangers d. less apt to listen to rules and be aware of potential dangers