Which intervention best assists a client with pruritus?
a. "Keep your fingernails cut short and keep them clean."
b. "Drinking extra fluids decreases stimula-tion of itch receptors."
c. "Wear soft, breathable clothing made from material like cotton."
d. "Avoid immersing the areas in water and dry thoroughly after bathing."
A
The focus of nursing care is to improve client comfort and to prevent injury to the skin from scratching. Keeping nails short will help prevent injury, and keeping them clean will help prevent infection should injury to the skin occur. Extra fluids do not change the sensations felt at the itch receptors. Cotton clothing does nothing to help extreme itching, and skin should be lubricated after bathing before drying off.
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