章节:The Child with Dermatologic and Endocrine Health Problems

SC
正确指数:100% 正确的次数:0 错误的次数:0 5490---After the nurse teaches the mother of a child with atopic dermatitis how to bathe her child, which statement by the mother indicates effective teaching?

Saunders Comprehensive Review for the NCLEX-RN® Examination, 7e (Saunders Comprehensive Review for Nclex-Rn)

1. “I let my child play in the tub for 30 minutes every night.”
2. “My child loves the bubble bath I put in the tub.”
3. “When my child gets out of the tub I just pat the skin dry.”
4. “I make sure my child has a bath every night.”

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正确答案:
3. “When my child gets out of the tub I just pat the skin dry.”
解释 :
Atopic dermatitis is a chronic pruritic dermatitis that usually begins in infancy. Many of the children diagnosed with it have a family history of eczema, allergies, or asthma. Atopic dermatitis is best treated with hydrating the skin, controlling the pruritus, and preventing secondary infection. Patting the skin dry removes less natural skin moisturizer and thus maintains skin hydration. Playing in the tub for 30 minutes each night would deplete the skin of its natural moisturizers, thereby leading to increased pruritus and dry skin. Bubble baths are to be avoided in children with atopic dermatitis because they may act as an irritant, possibly exacerbating the condition. Also, bubble baths deplete the skin of its natural moisturizers. The issue is not whether the child bathes every night. Rather, the goal is to decrease dryness and itching.