Phamacology Integumentary

A topical glucocorticoid is prescribed for an infant with dermatitis in the gluteal area. The nurse provides instructions to the mother regarding the use of the medication. Which statement by the mother indicates an understanding of the use of the medication? "I should not rub the medication into the skin." 2."The medication will help relieve the inflammation." 3."I need to apply the medication in a thick layer to protect the skin." 4."I should protect the area by covering with a diaper and plastic pants."

2."The medication will help relieve the inflammation

A client with acute seborrheic dermatitis of the back, chest, and legs is receiving treatments with salicylic acid. The nurse should monitor the client for which symptom that indicates the presence of systemic toxicity from this medication? 1. Diarrhea 2. Constipation 3. Lower leg pain 4. Increased respirations

4. Increased respirations

Salicylic acid is prescribed for a client with a dx of psoriasis. The nurse monitors the client, knowing that which finding indicates the presence of systemic toxicity from this medication 1. Tinnitus 2. Diarrhea 3. Constipation 4. Decreased respiration

1. Tinnitus

A child with severe seborrheic dermatitis is receiving treatments of topical glucocorticoid applied over an extensive area of the body, followed by the application of an occlusive dressing. The nurse should monitor the child closely, knowing that which systemic effect can occur as a result of this treatment? 1. Local Infection 2. Growth retardation 3. Thinning of the skin 4. Adrenal hyperactivity

2. Growth retardation

The nurse is applying a topical corticosteroids to a client with eczema. The nurse should monitor for the potential for increased systemic absorption of the medication if the medication were being applied to which body area? 1. Back 2. Axilla 3. Soles of the feet 4. Palms of the hands

2. Axilla

A burn client is receiving tx's of topical mafenide acetate (Sulfamylon) to the site of injury. The nurse monitors the client, knowing that which finding indicates that a systemic effect has occurred. 1. Hyperventilation 2. Local rash at the burn site 3. Elevated BP 4. Local pain at the burn site

3. Elevated BP

Silver sulfadiazine (Silvadene, Thermezene, SSD cream) is prescribed for a client wit a partial thickness burn and the nurse provides teaching about the medication. Which statement made by the client indicates a need for further teaching about the tx's. 1. The medication is an antibacterial. 2. The medication will help heal the burn. 3. The medication will permanently stain my skin. 4. The medication should be applied directly to the wound.

3. The medication will permanently stain my skin.

The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when at applied at which times? 1. Immediately before swimming 2. 5 min before exposure to the sun 3. Immediately before exposure to the sun 4. At least 30 minutes before exposure to the sun

4. At least 30 minutes before exposure to the sun

Isotretinoin (Clavaris) has been prescribed for an adolescent with a diagnosis of severe cystic acne. The nurse provides instructions to the adolescent regarding the use of the medication. Which statement, if made by the adolescent, indicates a need for further instruction? 1. "I will return to the clinic for blood tests." 2. "If my lips begin to burn, this is probably because of the medication." 3. "My eyes may become dry and burn as a result of the medication." 4."I need to be sure to take my vitamin A supplement so that the treatment will work."

4."I need to be sure to take my vitamin A supplement so that the treatment will work."

A client with sever acne is seen in the clinic and the HCP prescribes isotretinoin (Amnesteem or Claravis). The nurse reviews the client's medication record and would contact the HCP if the client is taking which medication? 1. Viatmin A 2. Digoxin 3. Lasis 4. Dilantin

1. Vitamin A

Lindane is prescribed for the treatment of scabies. The nurse reviews the client's record, knowing that this medication therapy would be contraindicated in which situation? 1.A 17-year-old with seizure disorders 2.An older client with diabetes mellitus 3.A 52-year-old man with hypertension 4.A 42-year-old woman with coronary artery disease

1.A 17-year-old with seizure disorders

The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which instructions should the nurse provide? Select all that apply 1. Sunscreen should be applied q8h 2. Use sunscreen when participation in outdoor activities. 3. Wear a hat, opaque clothing, and sunglasses when in the sun. 4. Avoid sun exposure in the late afternoon and early evening hrs. 5. Examine your body monthly for any lesions that may be suspicious.

2, 3, 5

Mafenide acetate (Sulfamylon) is prescribed for a client with a burn injury. When applying the mediation, the client c/o local discomfort and burning. The nurse should take which most appropriate action? 1. Discontinue the medication 2. Notify the HCP 3. Inform the client that this is expected 4. Apply a thinner film than prescribed to the burn site

3. Inform the client that this is expected

Minoxidil (Rogaine) is prescribed for a client to treat hair loss. The nurse provides instructions to the client regarding the application of the medication. Which statement by the client indicates that teaching is effective? 1. I will apply the prescribed amt of solution at bedtime 2. I will apply the prescribed amt of solution BID 3. I will apply the prescribed amt of solution QID 4. I will apply the prescribed amt of solution TID

2. I will apply the prescribed amt of solution BID

A home health nurse is visiting a client who has been started on therapy with clotrimazole (Lotrimin). The nurse determines effectiveness of the medication by noting a decrease in which problem? 1. Pain 2. Rash 3. Fever 4. Sneezing

2. Rash

Isotretinion (Amnesteem or Claravis) is prescribed for a client with sever acne. Before the administration of this medication, the nurse anticipates that which lab test will be prescribed. 1. Platelet Count 2. Triglycerides level 3. CBC count 4. WBC count

2. Triglycerides

The school nurse has provided instructions regarding the use of permethrin rinse (Nix) to the parents of children diagnosed with pediculosis capitis (head lice). Which statement by one of the parents indicates a need for further instruction? 1. "The hair should not be shampooed for 24 hours after treatment." 2."It is applied to the hair after shampooing and left on for 24 hours." 3."The permethrin rinse can be obtained over the counter in a local pharmacy." 4."It is applied to the hair after shampooing, left on for 10 minutes, and then rinsed out."

2."It is applied to the hair after shampooing and left on for 24 hours."

A client has been given diphenhydramine (Benadryl) as a topical agent for allergic dermatitis. The nurse should instruct the client to observe for which intended medication effect? 1. Nighttime sedation 2. A decrease in urticaria 3. healing of burned tissue 4. Resolution of ecchymoses

2.A decrease in urticaria

Coal tar has been prescribed for the client with psoriasis, and the nurse provides instructions to the client regarding this treatment. Which statement by the client indicates a need for further instruction? 1. The medication can cause diarrhea." 2."The medication can cause phototoxicity." 3.The medication has an unpleasant odor." 4."The medication can stain the skin and hair."

1. The medication can cause diarrhea."

The clinic nurse is performing an admission assessment on a client and notes that the client is taking azelaic acid (Azelex). Because of the medication rx, the nurse would suspect the client is being treated for which condition? 1. Acne 2. Eczema 3. Hair loss 4. Herpes simplex

1. Acne

The nurse is applying a topical glucocorticoid as prescribed for a client with psoriasis. The nurse would be least concerned about the potential for systemic absorption of the medication if it were being applied to which body area? 1. Back 2. Neck 3. Scalp 4. Axilla

1. Back

Topical azelaic acid (Azelex) is prescribed for a client, and the clinic nurse provides instructions regarding the use of this medication. Which statement by the client indicates a need for further instruction? 1. "I need to apply the medication twice daily" 2. "The medication is used to treat eczema." 3. "I need to massage a thin film gently into the affected area" 4. "I nee to wash and dry my skin before apply the medicine.

2. "The medication is used to treat eczema."

A hospitalized client is diagnosed with scabies. The health care provider (HCP) recommended that the client and the client's roommate be treated with lindane. Which finding if noted on this client's chart would alert the nurse to notify the HCP before the treatment with lindane? 1.Client history of diabetes 2.Client history of hypertension 3.Client history of seizure disorders 4.Client history of coronary artery disease

3.Client history of seizure disorders

A client is seen in the clinic for a complaint of scalp itching that has been persistent over the past several weeks. After an assessment, it is determined that the client has head lice. Lindane shampoo is prescribed, and the nurse provides instructions to the client regarding the use of the medication. The nurse should tell the client to take which measure?

3.Work the shampoo into dry hair, and leave it in place for 4 minutes

An outbreak of head lice infestation has occurred at a local school. The school nurse is providing instructions to the mothers of the children attending the school regarding the application of malathion (Ovide). The nurse should tell the mothers to take which action? 1.Apply the lotion immediately after washing the hair. 2.Pour the lotion onto the hair and then rinse immediately. 3.Allow the lotion to remain on the hair for 10 minutes and then rinse with water. 4.Leave the lotion on for 8 to 12 hours, and then wash the hair with nonmedicated shampoo.

4.Leave the lotion on for 8 to 12 hours, and then wash the hair with nonmedicated shampoo.

The clinic nurse is caring for a client with a diagnosis of scabies who has just been prescribed crotamiton (Eurax). The nurse instructs the client to perform which action when applying this medication? 1.Apply the medication to the entire body, washing it off after 2 hours. 2.Apply the application to the entire body, leave it on for 24 hours, and then take a cleansing bath. 3.Apply the medication to the entire body, avoiding the skin folds and creases, and wash it off in 12 hours. 4.Massage the medication into the skin from the chin downward. Apply a second application in 24 hours, followed by a cleansing bath 48 hours after the second application.

4.Massage the medication into the skin from the chin downward. Apply a second application in 24 hours, followed by a cleansing bath 48 hours after the second application.

A child is diagnosed with impetigo. The health care provider prescribes a topical medication for treatment. The nurse anticipates that which medication will be prescribed? 1. Cortisone 2.Benzoyl peroxide 3.Acyclovir (Zovirax) 4.Mupirocin (Bactroban)

4.Mupirocin (Bactroban)

The home health care nurse makes a home visit to a client who has an ulcer on the medial aspect of the left ankle. The wound is being treated with DuoDERM (a hydrocolloid). The nurse removes the DuoDERM, cleanses the wound as prescribed, and reapplies the DuoDERM. The nurse schedules the next visit for wound care and changing the DuoDERM in how many days, which is the maximum number of days? Fill in the blank.

DuoDERM are designed to be left in place for 7 days unless leakage occurs around the dressing