Health Promotion and Maintenance
91. A 12-month-old child with infantile eczema is seen at the clinic for several open lesions on the arms and legs. What should a nurse caution the child's parents against?
Health Promotion and Maintenance
91. A 12-month-old child with infantile eczema is seen at the clinic for several open lesions on the arms and legs. What should a nurse caution the child's parents against?
. Initiating a diet free of milk products.
. The use of topical hydrocortisone cream.
. Adding cornstarch to bath water.
. Immunization during eczema exacerbations.
Test-Taking Tip
Note that the question calls for what not to do.
Content Area: Child Health, Integumentary; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Alterations in Body Systems
Health Promotion and Maintenance
.
Answer 1 is incorrect because a hypoallergenic diet may alleviate the severity of eczema symptoms. Answer 2 is incorrect because hydrocortisone creams are recommended in the treatment of eczema. Answer 3 is incorrect because adding cornstarch to bathwater may relieve itching and promote the healing of the lesions. Answer 4 is correct because the child should not receive immunizations during an acute exacerbation of eczema (atopic dermatitis), as this may lead to complications such as allergic reaction. The child with atopic dermatitis is experiencing an inflammatory response. Care should be directed at relieving inflammation and avoiding exposure to substances thought to trigger an immune response.