A nurse is contributing to the plan of care for a 7-year-old client who has atopic dermatitis, Which of the following interventions should the nurse prioritize for controlling manifestations of the condition? (Select All that Apply.)
Explanation & Rationale
A. Application of scented lotions. Scented lotions often contain fragrances and chemicals that can irritate the skin, worsening atopic dermatitis. Fragrance-free, hypoallergenic moisturizers should be used instead. B. Frequent use of sunscreen. While sun protection is important, some sunscreens contain chemicals that may trigger irritation in children with atopic dermatitis. Mineral-based sunscreens (zinc oxide or titanium dioxide) are a better choice. C. Identification of triggers. Common triggers include allergens (pollen, pet dander), irritants (soaps, detergents), weather changes, and certain foods. Identifying and avoiding triggers helps prevent flare-ups. D. Use of topical corticosteroids. Low-to-moderate potency topical corticosteroids are the first-line treatment for controlling inflammation and reducing itching during flare-ups. E. Scrubbing of the affected area. Scrubbing can damage the skin barrier, increase irritation, and worsen symptoms. Gentle cleansing with mild, fragrance-free cleansers is recommended instead.