Chapter 17: Integumentary Function Meiner: Gerontologic Nursing, 6th Edition

1. The nurse explains that the plan of care for an older adult patient with seborrheic dermatitis of the scalp should include which actions? a. Cleaning lesions with a weak hydrogen peroxide solution daily b. Cleaning the scalp with a low-dose steroidal shampoo c. Applying hydrocortisone 10% to scalp lesions d. Applying selenium shampoo to the scalp ANS: D A successful strategy is to wet the hair, apply selenium shampoo, and then proceed with the rest of the bath or shower. The other measures will not be successful. DIF: Understanding OBJ: 17-3 TOP: Integrated Process: Teaching-Learning MSC: Physiologic Integrity 2. An older adult patient reports pruritus. The nurse educates the patient on the importance of which action? a. Applying a lanolin-rich cream and avoiding scratching the areas b. Taking warm baths and gently rubbing of affected areas with a terrycloth towel c. Minimizing ingestion of fried foods and use of an antihistamine cream d. Avoiding bath oils and allowing the skin to air-dry after bathing ANS: A The nurse suggests that the patient apply emollients (e.g., Lubriderm, Moisturel, or Eucerin lotion or cream), which have more lanolin or oily substances than many commercial lotions. Time should be planned to teach the patient and family about etiologic factors and the importance of not scratching. The other options are not helpful and will not decrease the itching. DIF: Understanding OBJ: 17-3 TOP: Integrated Process: Teaching-Learning MSC: Health Promotion and Maintenance