Pediatrics Question #27
Which is the priority intervention to teach the parent of a 9-month-old with atopic dermatitis?
- Keeping the child away from others while contagious.
- Keeping the fingernails cut and filed smoothly.
- Keeping the patient’s diaper area clean and dry.
- Reminding the parent to give the full antibiotic regimen.
The correct answer is B. Itching is a symptom of atopic dermatitis which scratching can worsen, or create infection. Keeping the nails cut and filed can help prevent unintended scratches. The child is not contagious as this is an immune reaction related to genetics, immature immune system, or external factors such as dry hot temperatures or lack of moisturizing. Diaper rash is dermatitis however atopic dermatitis usually affects the skin inside the elbows, back of knees, sides of the neck, around mouth, on the wrists, ankles, and hands. Treatment for atopic dermatitis is to avoid irritants, regular bathing in lukewarm water, moisturizing regimens, light therapy, and medications such as steroid creams and antihistamines.
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