A nurse is teaching the mother of a child with eczema about skin care. Which of the following statements, if made by the mother, indicates a need for further teaching?
  1. “Application of cool, wet compresses can soothe the skin.”
  2. “I need to keep my child away from furry stuffed animals.”
  3. “Topical corticosteroids are applied in a thick layer of cream.”
  4. “I won’t be using fabric softener as I wash my child’s clothes.”
Explanation
Answer: C - Corticosteroid creams should be applied in a thin layer. Use of these creams is not applied over extensive areas because systemic absorption is more likely to occur. Adrenal suppression, resistance to topical steroids and atrophy of skin layers can result from systemic absorption of topical steroids.
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