a nurse is teaching a parent of a child who has contact dermatitis which of the following instructions should the nurse include

ATI RN

RN Pediatric Nursing 2023 ATI

1. When teaching a parent of a child with contact dermatitis, which instruction should the nurse include?

A. Apply a thick layer of antibiotic ointment to the affected area.
B. Rub the skin vigorously with a towel to dry it.
C. Keep the child's skin dry.
D. Apply a thin layer of corticosteroid cream to the affected area.

Correct answer: D

Rationale: The correct instruction for a child with contact dermatitis is to apply a thin layer of corticosteroid cream to the affected area. Corticosteroid cream helps reduce inflammation and itching associated with contact dermatitis. It is important to avoid using antibiotic ointment or rubbing the skin vigorously, as these can worsen the condition. Keeping the child's skin dry is generally a good practice, but in the case of contact dermatitis, corticosteroid cream application is more beneficial.

2. Which statement by an 18-year-old woman vaccinated with Gardasil indicates that more teaching is necessary?

A. This vaccination will cure the HPV infection I got when I was 16.
B. I will still need to have a routine Pap screen performed.
C. Gardasil can prevent genital warts in males and females.
D. This drug does not protect against all types of HPV.

Correct answer: A

Rationale: The correct answer is A because Gardasil does not cure existing HPV infections. Gardasil is a preventive vaccine and does not treat existing infections. Choice B is correct as regular Pap screenings are still necessary even after vaccination. Choice C is also correct as Gardasil can prevent genital warts. Choice D is correct as Gardasil does not protect against all types of HPV. Therefore, option A is the statement that indicates the need for more teaching.

3. A nurse is teaching a parent of a child who has asthma. Which of the following instructions should the nurse include?

A. Use a peak flow meter daily.
B. Administer the medication with meals.
C. Provide a low-carbohydrate diet.
D. Limit exposure to cold air.

Correct answer: A

Rationale: The nurse should instruct the parent to use a peak flow meter daily to monitor the child�s respiratory status and detect early signs of an asthma attack.

4. What does a Z-score of -3.00 indicate?

A. The child's score indicates he is ahead of his peers and performing well
B. The child's score places him within normal limits on this test item
C. The test is inconclusive
D. The child's score falls below the majority of his peers on this test

Correct answer: D

Rationale: A Z-score of -3.00 indicates that the child's performance is significantly below the average of their peers. It represents an extreme low score, indicating a substantial deviation from the mean performance of the group.

5. Which statement fosters cultural competence?

A. Treat everyone the same regardless of their culture
B. Provide an outline of your beliefs as a starting point
C. Acknowledge and respond to influences of cultural beliefs in the intervention plan
D. Ask the family to outline how their beliefs will influence therapy

Correct answer: C

Rationale: Cultural competence involves recognizing and considering the impact of cultural beliefs on individuals. By acknowledging and responding to these cultural influences in the intervention plan, professionals can tailor their approach effectively and respectfully. This approach helps build trust, enhances communication, and improves outcomes in culturally diverse settings.