Which intervention should the practical nurse (PN) reinforce for a client with pruritis?
Explanation & Rationale
A. Encourage a warm sleeping environment: A warm environment can worsen pruritus by increasing skin dryness and stimulating itch receptors. Heat causes vasodilation, which may intensify itching and discomfort, making a cooler environment more beneficial for relief. B. Keep fingernails trimmed short: Trimming fingernails helps reduce skin damage from scratching, preventing secondary infection and minimizing skin breakdown. Short nails also decrease the risk of excoriations that can lead to bacterial invasion and delayed healing. C. Do not take any type of tub bath: Complete avoidance of tub baths is unnecessary. Instead, clients should take brief, lukewarm baths using mild soap and follow with immediate application of moisturizers to restore the skin barrier and relieve itching. D. Discourage use of skin lubricants: Skin lubricants, such as emollients, are essential in managing pruritus by locking in moisture and soothing irritated skin. Discouraging their use would worsen dryness, exacerbate itching, and hinder comfort and skin integrity.