The nurse in the dermatology clinic is caring for a 32-year-old female client who is a health care worker and has dermatitis secondary to wearing personal protective equipment (PPE) and frequent handwashing.
Nurses’ Notes Client is an unlicensed assistive personnel (UAP) who has developed irritant contact dermatitis from long hours wearing gloves and the increased handwashing during the COVID-19 pandemic. Client reports itchy hands and describes a burning/stinging sensation. Hands are red and swollen with small oozing blisters on the backs of the hands. Client was instructed to use barrier creams and moisturizers frequently throughout the day.
3 days later Client returned to the clinic due to open, weeping vesicles secondary to scratching from intense pruritis. Skin on the hands is red and swollen with open red areas. Client has been applying a moisturizer at home, but not at work.
The nurse at the follow-up appointment is reviewing the assessments from today’s visit and the visit 3 days earlier.
Select the anticipated prescriptions for care from the following categories. Select all that apply in each category.
Category Anticipated Prescriptions Medications Take methotrexate once per week. Apply a topical steroid to the affected areas of the hands. Take increasing doses of an oral corticosteroid. Take an oral antihistamine for itching. Self-Care Keep the fingernails short and clean. Wash hands with hot water. Apply barrier creams to the hands, as needed. Apply cool, wet dressings to the hands for comfort, as needed. Note: Each category must have at least 1 response option selected.