The nurse receives a call from the mother of a 16-month-old child who is recovering from diarrhea. The mother reports the diaper area is red, excoriated, and painful to touch
The nurse recommends: (Select all that apply.)
Standard Text: Select all that apply.
1. Washing the area with a strong antiseptic soap.
2. Using diaper wipes after every diaper change.
3. Allowing the area to air dry every two hours.
4. Over-the-counter diaper creams or petroleum jelly can be used.
5. Trying a different brand of diaper.
3,4
Rationale: Exposure to the air can help to thoroughly dry the area and prevent further skin damage. Over-the-counter creams or petroleum jelly can create a barrier between the injured skin and further exposure to urine and stool, preventing further skin breakdown. The area should be washed with a mild soap and water, not a strong antiseptic soap that will cause further damage. Diaper wipes should be avoided because many contain alcohol, which will further damage the skin. Changing brand of diapers is recommended if diaper dermatitis develops without a known cause, but in this case, the cause was diarrhea, so there is no need to change brands of diapers.
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An interdisciplinary team has been commissioned to create policies and procedures aimed at preventing acute hemolytic transfusion reactions. What action has the greatest potential to reduce the risk of this transfusion reaction?
A) Ensure that blood components are never infused at a rate greater than 125 mL/hr. B) Administer prophylactic antihistamines prior to all blood transfusions. C) Establish baseline vital signs for all patients receiving transfusions. D) Be vigilant in identifying the patient and the blood component.
The nurse should avoid which of the following interventions when dealing with a client having a panic attack?
A) Communicating in a nonthreatening manner B) Maintaining a calm environment C) Providing a safe place D) Touching the client
Which family scenario presents the greatest risk for family violence?
a. An unemployed husband with low self-esteem, a wife who loses her job, and a developmentally delayed 3-year-old child b. A husband who finds employment 2 weeks after losing his previous job, a wife with stable employment, and a child doing well in school c. A single mother with an executive position, a talented child, and a widowed grandmother living in the home to provide child care d. A single homosexual male parent, an adolescent son who has just begun dating girls, and the father's unmarried sister who has come to visit for 2 weeks
Which are statements that correctly describe chronic pain?
A. The pain has been present for 2 months. B. The pain is constant and recurring. C. The pain is mild to severe. D. The pain is recurring but not constant. E. The pain has been present for over 6 months and interferes with normal function.