To assist parents of an infant who has atopic dermatitis to realistically reduce the number of causative factors in their child's environment, which of these suggestions should the nurse offer?
a. removal of all actual or potential allergens from the home environment
b. frequent bathing in mild baby soap to remove sebaceous secretions from the scalp
c. frequent diaper changes, exposing affected areas to air, and use of a barrier ointment or cream
d. moving the family pet outside of the home
D
Atopic dermatitis, or eczema, is a chronic superficial inflammatory skin disorder characterized by severe itching. The condition may be an allergic reaction to irritants. Papules and vesicles usually begin on the cheeks and spread to the arms, legs, and trunk. A hypoallergenic diet and a soy formula are usually recommended. Parents should be advised to avoid cow's milk, eggs, fish, corn, citrus, peanuts, nuts, and chocolate. Dust, mold, animals, and cigarette smoke should also be avoided. The nurse's goal is to soothe and relieve itching and to maintain skin integrity.
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