Pediatrics Question #28
Which instruction(s) should be included in the teaching plan for a parent of a child with atopic dermatitis? (Select all that apply.)
- Over-the-counter emollient creams should be applied after bathing.
- Cotton clothing and pajamas will help reduce itching in the child.
- Long sleeves should always be worn when the child is sleeping.
- Maintain short, smooth fingernails on the child.
- Warm, bubble baths in antibacterial soap help heal lesions.
The correct answers are A, B, C and D. Moisturizing creams will help alleviate dryness of the skin. In atopic dermatitis the skin is more sensitive to irritants, allergens, and bacteria which are capable of breaking down the skin barrier. Applying a moisturizer immediately after bathing or showering is an effective way to put moisture back into the skin. Cotton clothing is smooth and cool, as it allows the skin to breathe and prevents overheating which will help reduce itching in the child. Covering areas by clothing or dressings helps prevent the child from scratching the skin that can cause irritation and infection. 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. Lukewarm baths can be taken to help with the dry itchy skin however bubble baths are harsh and irritating to the skin.