Free NCLEX-RN Exam Braindumps (page: 250)

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During an examination, the nurse notes that an infant has diaper rash on the convex surfaces of his buttocks, inner thighs, and scrotum. Which of the following nursing interventions will be most effective in resolving the condition?

  1. Coating the inflamed areas with zinc oxide
  2. Using talcum powder on the inflamed areas to promote drying
  3. Removing the diaper entirely for extended periods of time
  4. Cleaning the inflamed area thoroughly with disposable wet "wipes" at each diaper change

Answer(s): C

Explanation:

(A) Zinc oxide is not usually applied to inflamed areas because it contributes to sweat retention. (B) Talcum powder is of questionable benefit and poses a hazard of accidental inhalation. (C) Removing the diaper and exposing the area to air and light facilitate drying and healing. (D) Infants may be sensitive to one or more agents in the wet "wipes." It is better to simply clean with a wet cloth.



During an examination, the nurse notes that an infant has diaper rash on the convex surfaces of his buttocks, inner thighs, and scrotum. Which of the following nursing interventions will be most effective in resolving the condition?

  1. Coating the inflamed areas with zinc oxide
  2. Using talcum powder on the inflamed areas to promote drying
  3. Removing the diaper entirely for extended periods of time
  4. Cleaning the inflamed area thoroughly with disposable wet "wipes" at each diaper change

Answer(s): C

Explanation:

(A) Zinc oxide is not usually applied to inflamed areas because it contributes to sweat retention. (B) Talcum powder is of questionable benefit and poses a hazard of accidental inhalation. (C) Removing the diaper and exposing the area to air and light facilitate drying and healing. (D) Infants may be sensitive to one or more agents in the wet "wipes." It is better to simply clean with a wet cloth.



Cheyne-Stokes respiratory pattern can be associated with which of the following conditions?

  1. Diabetic ketoacidosis
  2. Fever
  3. Increased intracranial pressure
  4. Spinal meningitis

Answer(s): C

Explanation:

(A) Kussmaul's respirations are associated with diabetic ketoacidosis, severe hemorrhage, peritonitis, renal failure, and uremia. (B) Tachypnea (respiratory rate >25 breaths/min) is often associated with fever. (C) Cheyne-Stokes respiratory pattern is most often associated with increased intracranial pressure secondary to changes in pressure in the cerebral and cerebellar areas. (D) Biot's breathing is most frequently associated with spinal meningitis.



Cheyne-Stokes respiratory pattern can be associated with which of the following conditions?

  1. Diabetic ketoacidosis
  2. Fever
  3. Increased intracranial pressure
  4. Spinal meningitis

Answer(s): C

Explanation:

(A) Kussmaul's respirations are associated with diabetic ketoacidosis, severe hemorrhage, peritonitis, renal failure, and uremia. (B) Tachypnea (respiratory rate >25 breaths/min) is often associated with fever. (C) Cheyne-Stokes respiratory pattern is most often associated with increased intracranial pressure secondary to changes in pressure in the cerebral and cerebellar areas. (D) Biot's breathing is most frequently associated with spinal meningitis.



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