A nurse is teaching parents about prevention of diaper dermatitis. Which should the nurse include in the teaching plan? Select all that apply
a. Clean the diaper area gently after every diaper change with a mild soap.
b. Use a protective ointment to clean dry intact skin.
c. Use a steroid cream after each diaper change.
d. Use rubber or plastic pants over the diaper.
e. Wash cloth diapers in hot water with a mild soap and double rinse.
A, B, E
Prompt, gentle cleaning with water and mild soap (Dove, Neutrogena Baby Soap) after each voiding or defecation rids the skin of ammonia and other irritants and decreases the chance of skin breakdown and infection. A bland, protective ointment (A&D, Balmex, Desitin, zinc oxide) can be applied to clean, dry, intact skin to help prevent diaper rash. If cloth diapers are laundered at home, the parents should wash them in hot water, using a mild soap and double rinsing. Occlusion increases the risk of systemic absorption of steroid; thus steroid creams are rarely used for diaper dermatitis because the diaper functions as an occlusive dressing. Rubber or plastic pants increase skin breakdown by holding in moisture and should be used infrequently.
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A nurse is providing patient education to a client who will soon begin taking levothyroxine for the first time. Which of the following teaching points should then nurse include in this education session?
A) "You'll most likely take this drug for the rest of your life." B) "I'll help you arrange to come to an outpatient clinic for IV administration of levothyroxine." C) "You'll need to take this drug one hour before eating or at least two hours after eating." D) "I'll teach you how to check your blood sugar levels for the first few weeks that you take the drug."
During a myocardial infarction (MI), a patient with a 97% occlusion of his left descending artery develops ventricular arrhythmias due to the amount of ischemia occurring in the myocardium
While educating the patient about MIs, the nurse will base her teaching on the fact that A) permanent damage will occur in the myocardium if the vessel is not opened within a 1- to 2-minute window following the occlusion. B) treatment needs to be sought immediately so that the buildup of lactic acid is limited and cellular changes can be reversed. C) once the oxygen supply has been occluded, cellular changes are irreversible even if oxygenation is restored. D) the body will grow new genes through the process of angiogenesis, thereby avoiding any permanent damage to the myocardium.
The nurse knows that it is important for the patient suffering from an eating disorder to maintain connections with friends and family in order to avoid which belief?
1. That the eating disorder will bring happiness 2. That forgiveness of inadequacies is acceptable 3. That maintaining the disorder leads to a loss of spirit 4. That despite the sacrifice of dieting, happiness will never come
Chakras are natural substances used to produce botanical products in herbal medicine
Indicate whether the statement is true or false