Integ. NCLEX Questions

Coal tar has been prescribed for a client with a diagnosis of psoriasis, and the nurse reinforces instructions to the client about the medication. Which statement by the client indicates a need for further teaching?

"The medication can cause systemic effects."

Silver sulfadiazine is prescribed for a client with 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 treatments?

"The medication is likely to cause stinging every time it is applied."

Antibiotics are prescribed for a child and the nurse provides instructions to the parents regarding the administration of the antibiotics. Which statement made by a parent would indicate that the instructions were understood?

"We will administer the antibiotics until they are gone."

A burn client is receiving treatments of topical mafenide acetate to the site of injury. The nurse monitors the client, knowing that which finding indicates the occurrence of a systemic effect?

Hyperventilation

A 5-week-old infant is brought to the well-baby clinic by the mother because the mother has noted white patches in the infant's mouth. Following examination, the infant is diagnosed with oral candidiasis (thrush). Nystatin oral suspension is prescribed. The mother is concerned because she is breast-feeding the infant & asks the nurse if breast-feeding can be continued. Which response is appropriate?

"Breastfeeding can continue, but your breasts should also be treated with nystatin."

Griseofulvin is prescribed for a child with tinea capitis. The nurse reinforces instructions to the family regarding administration of the medication. Which statement by the mother indicates a need for further teaching?

"I need to administer the medication 2 hours before meals."

The nurse reinforces instructions to a client regarding the use of tretinoin. Which statement by the client indicates the need for further teaching?

"I should apply a very thin layer to my skin."

A client with dermatitis has been prescribed a topical corticosteroid for use on the affected areas, and the nurse has reinforced instructions about the use of this medication. Which statement by the client indicates a need for further teaching?

"I will apply a bandage over the site after applying the medication."

A client who is pregnant will be treated by a dermatologist for acne. Which statement if made by the client indicates a need for further teaching?

"I will continue to take the prescribed oral tetracycline hydrochloride on a daily basis."

Isotretinoin is prescribed for a client to treat severe cystic acne. The nurse tells the client that the length of the usual prescribed course of treatment is which?

15 to 20 weeks

A hospitalized client with severe seborrheic dermatitis is receiving treatments of topical glucocorticoid applications followed by the application of an occlusive dressing. The nurse monitors the client for which systemic effect that can occur as a result of this treatment?

Adrenal suppression

The nurse is caring for a client with a burn injury to the lower legs. Silver sulfadiazine is prescribed to be applied to the sites of injury. Which indicates the appropriate method to apply this medication?

Apply to cleansed, debrided wounds as prescribed.

The nurse is applying a topical corticosteroid to a client with eczema. The nurse apply the medication to which body area? Select all that apply.

Back Soles of the feet Palms of the hands

A client with a burn injury is applying mafenide acetate (Sulfamylon) to the wound. The client calls the health care provider's office and tells the nurse that the medication is uncomfortable and is causing a burning sensation. Which instructions should the nurse reinforce to the client?

Continue with the treatment because this is expected.

A client with eczema has a prescription for a topical corticosteroid. The nurse cautions the client to use the product carefully in which area where the risk of systemic absorption is greater?

Face

The clinic nurse is performing an admission assessment on a client and notes that the client is taking azelaic acid. The nurse determines that which client complaint may be associated with the use of this medication?

Itching

A client is seen in the clinic for complaints of skin itchiness that has been persistent over the past several weeks. Following data collection, it has been determined that the client has scabies. Lindane is prescribed, and the nurse is asked to provide instructions to the client regarding the use of the medication. How would the nurse teach the client to apply the cream?

Leave the cream on for 8 to 12 hours and then remove by washing.

Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed?

Triglyceride level

A client with severe acne is seen in the clinic and the primary health care provider (PHCP) prescribes isotretinoin. The nurse reviews the client's medication record and would contact the PHCP if the client is also taking which medication?

Vitamin A

Silver sulfadiazine is prescribed for a client with a burn injury. Which laboratory finding requires the need for monitoring by the nurse?

White blood cell count of 3000 mm3

Ketoconazole is prescribed for an assigned client. The nurse would prepare to administer the medication in which manner?

With food