00:00
Let's start with the stem of the question. The nurse provides discharge instructions
for the parents of a toddler client who's been diagnosed with eczema. Which
statement by the nurse describes the non-medicated eczema treatment? Okay,
there are the words we all kind of look for too. Right? Huh, select all that apply.
00:23
I really want you to reframe your thinking, I want to encourage you that you
can get these questions right. Just follow the same systematic thinking each time
you answer these questions and you're going to raise your scores. Okay,
let's break this question down. Take the first sentence. The nurse provides discharge
instructions for the patients of a toddler client who's been diagnosed of eczema.
00:47
Okay. So I'm the nurse, I'm doing discharge instructions or teaching to the parents
because the client is a toddler and they have a diagnosis of eczema. So now I see
what's particular about this client being discharged from the hospital, they're
a toddler, they have eczema, and my job is to teach them. The last sentence that
focuses it which happens to be the second sentence in this question, which
statement by the nurse describes non-medicated eczema treatment? Now, why
do we emphasize that word? Hey, that's a keyword I want you to look for. It's a
descriptor word. We're talking about eczema treatment, but it specifically says
non-medicated. So make sure when you're reading the stems of any question that
you look at those descriptor words, slow down, keep an eye out for them.
01:41
Now you know what your job is, take all of these dissection, put the stem of the
question in your own words. Go ahead. Pause the video, put the stem of this question
into your own words and then restart the video. Welcome back. Hopefully you took
the opportunity to do that. Now, I tell you when you put it in your own words it
doesn't have to be exactly like mine, but this is kind of how I would work through
the question. I'd be thinking "What is the appropriate discharge education to
the parents of a toddler with eczema, but remember Rhonda non-medicated
eczema treatment." Okay. So with each question option I'm going to look at the
answer choices and eliminate those one at a time. So, let's bring in the answer
choices so you can see them. Okay, good. First, pay attention how many answer
choices do you see? 5. So I want you to write down on your piece of scratch
paper 1, 2, 3, 4, and 5. Just the numbers, not the answer choices but write down
number 1, number 2, number 3, number 4, and number 5. Now, pause the video
after I help you with this instruction. The way you worded the question, put
it into your own words, I want you to ask yourself that question 5 separate times,
one time for each one of those answer options. So, what's the appropriate
non-medicated eczema treatment? So if I'm going to look at number 1, I would say
"Is applying loose scented powder on the child's lesion appropriate non-medicated
eczema treatment?" So I'm going to answer that question yes or no. If the answer
is yes, then I check the box because what I'm looking for is everything that is
appropriate for non-medicated eczema treatment. If I think no, cross through the
number, either way make your decision, go on to the next option. So now is the
time to actually push the pause button, work through this question with that
strategy, each of the 5 answers, then restart the video and we'll go over the
rationales. Hey, welcome back. Hopefully that didn't feel like too much heavy
lifting. Always remember as we're going over the right answers, it's an opportunity
for you to learn. No, I really mean that. It's an opportunity for you to know
things like "Oh I didn't know that." Whether you got the answer right or wrong,
what's the goal? Take those things that are new to you or that you needed to be
reminded of and write them down in your notebook. I want you to actually write
those out so that you can review them on a regular basis. Now on top of that,
remember we've done the work for you, we have questions that come up after
each video, and we also have spaced repetition cards. So when you're using the
Lecturio system, you can also use our spaced repetition questions to help you stay
on top of things. Okay, so let's take a look at this one. We're looking for number 1.
05:04
Is apply loose scented powder on the child's lesion, is that appropriate
non-medicated eczema treatment? What did you say? Well, it's actually not. If you
have a lesion, you don't want to put powder on it. Scented powder is going to
have some things in it that could also be harmful to the skin and particularly painful
on an open lesion. So, do not include number 1, cross that off. Let's look at
number 2. Is it appropriate non-medicated eczema treatment if you provide
daily warm baths for 10-15 minutes? Now the first part is daily, that's how often
it happens. A warm bath, seems okay. 10-15 minutes, yeah. This one is okay.
05:53
It's non-medicated and it should help the child's eczema. Kind of help relieve some
of that itching and help make that skin feel a little better. Now number 3. Is it
appropriate non-medicated eczema treatment to apply over-the-counter topical
steroids as much as possible? Okay, I got a few problems with this answer. Right?
Over-the-counter topical steroids in a kid, that starts to make me nervous. Right?
And then it says as much as possible. Whoah, no. I'm really hesitant to give
children steroids. You'd have to have specific instructions, directions, and a
prescription from the physician. Now this is a toddler. Their body surface area is
tiny. Right? So if I'm slithering them up with as much as possible topical steroids,
that is not a safe or appropriate option. So, I've eliminated number 3. Also I've
eliminated number 1. So far, only number 2 has been selected as being safe,
non-medicated eczema treatment. Number 4. Is this a safe non-medicated eczema
treatment? Apply occlusive wet dressings on the lesions at night. Okay, now this
one might have caught you up. Right? Because think about those types of
dressings, we don't use those on other wounds. Would this be helpful? Actually, in
this specific case of eczema, sometimes this is appropriate to use an occlusive wet
dressing on lesions. So, this answer should be included. If you miss this one, don't
worry. This is an example of where you should write yourself a note that in some
cases occlusive wet dressings with exacerbations of eczema, outbreaks of eczema
is appropriate. Now, number 5. Is it appropriate non-medicated eczema treatment
to avoid the use of fabric conditioner and perfumed soaps? Oh, yeah. This little
baby, his skin is so sensitive, it's irritated from the eczema, you don't want
anything else that's going to irritate the skin or cause like kind of an inflammatory
or allergic response. So, no fabric conditioner, no perfumed soaps. That's really
going to help that child's skin start to heal. Okay, so, 5 options. See how long it
took us to walk through those. Now, it's because I'm speaking it so it's even longer
than if you're doing it in your head but I promise you that is the most effective
strategy with select-all-that-apply questions. Why? Because I've often seen
students go through the first part of the question and answer things that are correct
and then they flip and start answering things that are incorrect. So, they knew the
information but because they weren't meticulous about making sure they knew the
topic of the question and then asking it 5 different times, they end up missing the
question. Don't do that. So now we know the correct answers are number 2,
number 4, and number 5. Number 1 and 3, those guys are out. So, pause here,
think back through each one of the answer choices, review the rationales, see
what needs to be added to your notebook and go ahead and do it right now
before you go on to the next question.