The nurse notices that the infant is wearing a plastic-coated diaper. If a topical medication were to be prescribed and it were to go on the stomach or buttocks, the nurse would teach the caregivers to:

a. put the diaper on as usual
b. apply an ice pack for 5 minutes to the outside of the diaper
c. avoid covering the area of the topical medication with the diaper
d. avoid the use of clothing on top of the diaper


C

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A Incorrect. Teaching the caregivers in the use of a topical medication, and noticing that the infant is wearing a plastic-coated diaper, the nurse would not advise the caregivers to put the diaper on as usual, which would lead to over-medication.
B Incorrect. Teaching the caregivers in the use of a topical medication, and noticing that the infant is wearing a plastic-coated diaper, the nurse would not advise the caregivers to apply an ice pack for 5 minutes to the outside of the diaper. This action would have no effect on the absorption of the medication.
C Correct. Teaching the caregivers in the use of a topical medication, and noticing that the infant is wearing a plastic-coated diaper, the nurse would advise the caregivers to avoid covering the area of the topical medication with the diaper. Absorption is increased by an occlusive dressing such as a plastic-coated diaper.
D Incorrect. Teaching the caregivers in the use of a topical medication, and noticing that the infant is wearing a plastic-coated diaper, the nurse would not advise the caregivers to avoid the use of clothing on top of the diaper. This action would have a more negative effect on the over-absorption of the medication.

Nursing

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The nurse recognizes the need for further teaching when the client makes which statement?

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. Which might be the best choice for the grandmother who felt fine but was rather depressed from sitting around the house all day while the rest of the family members were at work or school?

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