PrepU Chapter 52

The nurse is explaining the use of clotrimazole to a client who has been prescribed the medication for treatment of athlete's foot. Which statement, made by your client, suggests medication teaching has been effective? "I'll apply the ointment every day for two to four weeks." "I'll apply the ointment twice a day for two to four weeks." "I'll apply the ointment twice a day for two to four days." "I'll apply the ointment twice a day for two to four months."

"I'll apply the ointment twice a day for two to four weeks."

A client diagnosed with an infection is prescribed an antimicrobial. The client asks when antimicrobials are used. What is the nurse's best response? "They are used to treat infections caused by bacteria, fungi, and viruses." "They are used to eradicate the growth of bacteria, viruses, and fungi." "They suppress the inflammatory response produced by the bacteria, viruses, and fungi." "They produce exudate caused by infectious agents like bacteria, viruses, and fungi."

"They are used to treat infections caused by bacteria, fungi, and viruses."

A client has been prescribed ciclopirox in the form of a nail lacquer. The nurse understands the client was prescribed this medication for which condition? Impetigo Onychomycosis Rosacea Acne vulgaris

onychomycosis

Burn clients have a difficult time maintaining adequate fluid balance due to their wounds. What role of the skin does a burn wound violate? Physical barrier Detecting sensation Source of vitamin D Regulating body temperature

physical barrier

A boy 16 years of age is seen in the clinic for a progressed rash in his groin which begun shortly after he begun working full time as a lifeguard. The nurse knows that the provider would most likely order which type of medication? A topical antiviral A topical antifungal A topical corticosteroid A topical antibiotic

topical antifungal

A college student is distraught that facial acne has become more serious over the past several months and is requesting a prescription for isotretinoin. What assessment is the priority before the initiation of this treatment? two consecutive pregnancy tests assessment of creatinine clearance a fasting diabetes screening bone density testing

two consecutive pregnancy tests

A client being evaluated in the emergency department is found to have red, raised, edematous skin lesions with pale centers and red borders. The client states, "These places are intensely itchy." What medical diagnosis is supported by this assessment data? Urticaria Pruritis Psoriasis Dermatitis

urticaria

While assessing a client's arm, the nurse observes a raised edematous area with a pale center and red border. The client reports intense itching. What term should the nurse use to document the structure? urticaria erythema rosacea cellulitis

urticaria

A nurse is working in the emergency department and caring for a client who requires emergency dental care. The dentist uses viscous lidocaine as a topical anesthetic. What discharge instruction should the nurse give the client? "Do not eat food for the next hour." "Do not eat or drink for the next 24 hours." "Do not drive or operate machinery." "Use ice to treat any hives resulting from this medication."

"Do not eat food for the next hour."

What interventions should the nurse teach a client interested in maintaining healthy skin? Select all that apply. "Eat a balanced diet." "Clean the skin daily with soap and water." "Avoid excessive exposure to sunlight" "Moisturize the skin daily." "Use triple antibiotic ointment once a week."

"Eat a balanced diet." "Clean the skin daily with soap and water." "Avoid excessive exposure to sunlight" "Moisturize the skin daily."

After teaching a group of nursing students about the actions of an antiseptic drug, the instructor determines that additional teaching is needed when the students identify which action? Kills bacteria. Slows bacterial growth. Prevents bacterial growth. Stops bacterial growth.

kills bacteria

When planning care for a client with herpes zoster, what medication, if administered within the first 24 hours of the initial eruption, can arrest this virus? Deltasone (Prednisone) Azathioprine (Imuran) Triamcinolone (Kenalog) Acyclovir (Zovirax)

Acyclovir (Zovirax)

A child presents to the clinic with several growths on his fingers. His mother says she thinks he got them because he plays with frogs. The provider chuckles and says, "I doubt that, but use this and they should go away." What teaching will the nurse provide to this client and his mother? "Warts are excessive growths of the top layer of skin caused by a virus. Follow the directions inside the package." "Warts are caused by touching frogs and other water dwelling animals. Put this medicine on and they will disappear quickly." "Warts may take a while to go away, but if you pick at them and cut them with tiny scissors they will go away faster." "Warts are not caused by touching frogs. They are bacterial infections that are transmitted from one child to another by touching."

"Warts are excessive growths of the top layer of skin caused by a virus. Follow the directions inside the package."

An older adult client has been bedridden for several months and has developed a deep bedsore on her hip. The nurse knows that which of the following would be used in the treatment of this wound? An enzyme combination An antifungal An antiviral A corticosteroid

An enzyme combination

An infant comes to the clinic with extreme diaper rash that has spread over the entire genitalia and begun to advance down both legs. The health care provider orders a topical ointment to treat this problem. What should the nurse include in teaching the parents about this ointment? Apply as often as you would like. Apply the diaper loosely after applying this ointment. Apply a dressing over the ointment so it does not rub off. Apply the diaper tightly and that will prevent needing to use a dressing.

Apply the diaper loosely after applying this ointment.

An infant is seen in the clinic for a diaper rash. The provider states that the rash is from candidiasis and prescribes mupirocin. Which of the following responses by the nurse would be appropriate? Encourage the infant's mother to question the health care provider about the prescription Ask the health care provider why an antifungal topical agent has not been prescribed Provide teaching to the infant's mother on the use of the topical antibiotic agent Suggest an alternative topical antibiotic agent due to the high cost of mupirocin

Ask the health care provider why an antifungal topical agent has not been prescribed

A nurse is explaining the difference between an agent being bactericidal versus being bacteriostatic. Which of the following statements regarding the difference are most accurate? Select all that apply. Bacteriostatic agents slow or retard the multiplication of bacteria. Bacteriostatic agents destroy or kill bacteria. Bactericidal agents destroy or kill bacteria. Bactericidal agents slow the multiplication of bacteria. Bactericidal and bacteriostatic agents are the same.

Bacteriostatic agents slow or retard the multiplication of bacteria. Bactericidal agents destroy or kill bacteria.

The nurse knows that which of the following can effect the potency of a corticosteroid? Select all that apply. Concentration of the drug Vehicle in which the drug is suspended Skin integrity where the drug is applied Length of air drying after application Temperature of the product

Concentration of the drug Vehicle in which the drug is suspended Skin integrity where the drug is applied Length of air drying after application

A child is seen in the clinic with a rash after playing in foliage during a camping trip. The nurse expects the provider to prescribe what type of medication to help with the itching and irritation? Antifungal Antibiotic Corticosteroid Aloe vera

Corticosteroid

When writing a plan of care for a client with psoriasis, the nurse would know that an appropriate nursing diagnosis for this client would be: Impaired skin integrity related to scaly lesions Acute pain of skin and oral cavity related to blistering and erosions Impaired tissue integrity related to epidermal shedding Anxiety and depression related to disfigurement

Impaired skin integrity related to scaly lesions

The nurse is caring for an infant who has been prescribed a topical corticosteroid. What principle should guide the nurse's actions during administration? Topical medications on infants' skin must be covered with an impermeable barrier. Infants' skin is more permeable to medication than older clients' skin. Infants have more subcutaneous fat than older clients, so higher concentrations of topical medications are often necessary. Systemic drugs are preferable to topical medications in the care of infants.

Infants' skin is more permeable to medication than older clients' skin.

Which of the following has anti-infective action against bacteria, fungi, viruses, yeasts, and protozoa? (Choose one) Iodine Chlorhexidine Hexachlorophene Triclosan

Iodine

A wrestler is seen by the school nurse for a rash on his arms. This is the same type of rash that several of his teammates have had recently. The nurse recognizes the rash and tells the wrestler that he has ringworm. The nurse knows that which of the following medications is used to treat ringworm? Bactroban Zovirax Lotrimin Hydrocortisone

Lotrimin

A 5-year-old is diagnosed with impetigo. Which medication does the nurse suspect the prescriber to order for this condition? Mupirocin Metronidazole Silver sulfadiazine Clindamycin

Mupirocin

A client with warts is prescribed salicylic acid. The nurse understands that this topical drug is an example of which type of drug? keratolytic local anesthetic antifungal antipsoriatic

keratolytic

The nurse knows that a pediatric client is at greater risk for systemic adverse reactions from a topical medication. Why? Pediatric clients have a greater skin surface area to body mass ratio. Pediatric clients have thinner skin than adult clients. Pediatric clients will always ingest topical medications. Pediatric clients have smaller airways than adult clients.

Pediatric clients have a greater skin surface area to body mass ratio.

A nursing student correctly identifies the action of a keratolytic when stating which of the following? This drug removes excess growth of the dermis. This drug removes excess growth of the epidermis. This drug promotes growth of the epidermis. This drug promotes growth of the dermis.

This drug removes excess growth of the epidermis.

When planning care for a client with herpes zoster, what medication, if administered within the first 24 hours of the initial eruption, can arrest this virus? Deltasone (Prednisone) Azathioprine (Imuran) Triamcinolone (Kenalog) Acyclovir (Zovirax)

acyclovir

The nurse demonstrates appropriate understanding use when recommending which herbal preparation for the treatment of minor skin conditions? Aloe Gingko biloba Nystatin Melatonin

aloe

Which medication can be applied to the lesions related to a bacterial skin infection? Bacitracin Benzoyl peroxide Butenafine Clotrimazole

bacitracin

A client is seen for a severe reaction to contact with poison ivy. The client will be treated with prednisone but requires secondary medication for the itching and pain. What other drug will the health care provider order for this client? salicylic acid benzocaine masoprocol collagenase

benzocaine

Which topical drugs would a client use to help remove the plaques associated with psoriasis? calcipotriene azelaic acid retapamulin naftifine

calcipotriene

Which might the nurse expect the primary health care provider to prescribe for topical treatment of a client's acne vulgaris? clindamycin ciclopirox nystatin imiquimod

clindamycin

The nurse understands the actions of keratolytics when salicylic acid is used to treat which of the following? (Select all that apply.) warts calluses decubitus ulcers corns burns

corns calluses warts

A nursing student identifies which drug class exerts a localized anti-inflammatory effect when applied topically? corticosteroids antifungals anti-infectives germicides

corticosteroids

What risk factors involved in development of decubitus ulcers should the nurse discuss with a group of caregivers? Select all that apply. debilitation diuretic use malnutrition incontinence diabetes mellitus

debilitation malnutrition incontinence

What nursing diagnosis is likely to be the priority for a teen whose acne is not responding to initial treatment? pain related to acne vulgaris lesions disturbed body image related to visible skin lesions risk for infection related to disruption in skin integrity activity intolerance related to the presence of skin lesions

disturbed body image related to visible skin lesions

A male client being seen in the clinic states that he has multiple outbreaks of cold sores each year. The health care provider's drug of choice for this client would be: docosanol. butenafine. ciclopirox. metronidazole.

docosanol

Which medication can a nurse recommend to a client for the treatment of herpes simplex virus (HSV) that is available without a prescription? docosanol penciclovir acyclovir imiquimod

docosanol

A client has been prescribed acyclovir by the primary health care provider to treat the start of herpes simplex virus infection. Which action should the nurse ensure while applying the ointment to the client? Apply sparingly in a light film. Wear protective clothing. Use a finger cot or glove. Wash the area with povidone iodine.

use a finger cot or glove