The nurse is speaking with the parent of an infant with severe atopic dermatitis. What information should the nurse reinforce with the parent (Select all that apply)?
a. "You can use warm wet compresses to relieve discomfort."
b. "You will need to keep your infant's skin well hydrated by using a mild soap in the bath."
c. "You should bathe your baby in a bubble bath two times a day."
d. "You will need to prevent your baby from scratching the area by using a mild antihistamine."
e. "You can try a fabric softener in the laundry to avoid rough cloth."
f. "You should apply an emollient to the skin immediately after a bath."
ANS: B, D, F
The eczematous lesions of atopic dermatitis are intensely pruritic. Scratching can lead to new lesions and secondary infection; an antihistamine can be used. Keeping the skin hydrated is a goal of treating atopic dermatitis. Applying an emollient immediately after a bath helps to trap moisture and prevent moisture loss. Using warm compresses to relieve discomfort, bathing the baby in a bubble bath, and using fabric softener are not appropriate suggestions for this condition.
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