What is the priority when caring for a 6-month-old diagnosed with atopic dermatitis?

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Atopic dermatitis, also known as eczema, is a chronic skin disorder characterized by pruritus, erythema, and dry skin. In infants, red, crusted, scaly lesions may also be present. It is commonly first diagnosed before age 1 year. The exact cause is unknown, although it is associated with an impaired skin barrier that allows penetration of allergens, leading to an immune response. The primary goals of management are to alleviate pruritus and keep the skin hydrated to prevent scratching. Scratching leads to the formation of new lesions and predisposes to secondary infections. Important measures to prevent scratching include cutting and filing nails short, placing gloves or cotton stockings over the hands, not wearing rough fabrics or woolen clothing, and applying moisturizer. These measures would have an immediate effect in preventing scratching. (Option A) A room humidifier may improve skin hydration and comfort in clients with excessively dry skin. However, comfort measures are not as crucial as immediate prevention of scratching (eg, gloves or cotton stockings placed over the hands). (Option B) Having an infant with severe atopic dermatitis may be a source of anxiety or stress for parents. Although it may be beneficial to explore the psychosocial effects on the family, prevention of scratching is a higher priority as it can lead to secondary infection. (Option C) Many clients with atopic dermatitis are also diagnosed with food sensitivities that aggravate the condition and require a hypoallergenic diet. However, nutritional education is a lower priority than infection prevention. Educational objective: Atopic dermatitis (eczema) is a chronic skin disorder manifested in infants by pruritus, dry skin, and red, crusted, scaly lesions. The priority management is to prevent scratching as this would promote formation of new lesions and predispose to secondary infections.

What Is the priority When Caring for a 6-Month-Old Diagnosed