The nurse is discussing the management of atopic dermatitis (eczema) with a parent. What should be included?
a. Dress infant warmly to prevent chilling.
b. Keep the infant's fingernails and toenails cut short and clean.
c. Give bubble baths instead of washing lesions with soap.
d. Launder clothes in mild detergent; use fabric softener in the rinse.
ANS: B
The infant's nails should be kept short and clean and have no sharp edges. Gloves or cotton socks can be placed over the child's hands and pinned to the shirt sleeves. Heat and humidity increase perspiration, which can exacerbate the eczema. The child should be dressed properly for the climate. Synthetic material (not wool) should be used for the child's clothing during cold months. Baths are given as prescribed with tepid water, and emollients such as Aquaphor, Cetaphil, and Eucerin are applied within 3 minutes. Soap (except as indicated), bubble bath oils, and powders are avoided. Fabric softener should be avoided because of the irritant effects of some of its components.
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