Which of the following represents the most appropriate nursing intervention for a client with pruritis caused by cancer or the treatments?
A. Administration of antihistamines
B. Steroids
C. Silk sheets
D. Medicated cool baths
Answer: D
Explanation: Nursing interventions to decrease the discomfort of pruitus include those that prevent vasodilation, decrease anxiety, and maintain skin integrity and hydration. Medicated baths with salicyclic acid or colloidal oatmeal can be soothing as a temporary relief. The use of antihistamines or topical steroids depends on the cause of pruritus, and these agents should be used with caution. Using silk sheets is not a practical intervention for the hospitalized client with pruritis.
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