Pharm 50

A nurse is teaching a patient about the treatment of acne vulgaris and psoriasis. Which statement made by the patient indicates the need for further teaching? Select all that apply.

"I should clean my skin once a day with a strong cleanser." "I should continue with treatment even after conception, because the treatment does not affect pregnancy."

A nurse is educating a group of student nurses about assessing acne vulgaris and psoriasis. Which comment made by a student nurse indicates the need for further teaching? Select all that apply.

"I should observe the physiologic effects of the skin lesions." "I should describe only the lesion when assessing the patient's skin eruption."

A registered nurse is teaching a student nurse about tazarotene (Tazorac) medication. Which statements made by the student nurse indicates the need for further teaching? Select all that apply.

"It reduces sebum secretion." "It should be avoided along with vitamin A."

A nurse is teaching a group of students about the nursing diagnosis of acne vulgaris and psoriasis. Which comments made by a student nurse indicate the need for further teaching? Select all that apply.

1,4

A nurse observes that a patient has mild to moderate acne. Which medication does the nurse anticipate the primary health care provider may prescribe for the patient? Select all that apply.

123

A nurse is teaching a group of student nurses about the pharmacodynamics of mafenide acetate (Sulfamylon cream). What statements made by a student nurse show the need for further education? Select all that apply.

134

The patient has been started on benzoyl-peroxide (Benzac, Persa-Gel) as part of the treatment regimen. The patient asks the nurse, "Why do my lips seem to swell whenever I use the medication?" What do the patient's symptoms indicate?

Allergic reaction to the medication.

Before applying povidone-iodine (Betadine) to a patient's skin, what is a primary nursing intervention?

Ask patient if he or she has any allergies.

A student nurse creates a chart to learn about the uses and modes of action of the drugs used to treat acne vulgaris and psoriasis. Which drug has been matched with its correct use and mode of action?

Benzoyl-peroxide (Benzac) is used for mild to moderate acne; it promotes desquamation.

A primary health care provider is examining a patient who works at a factory producing cleaning products. The patient has a skin rash, itching, and swelling and blisters. There is a presence of scaling at the affected sites. What treatment does the nurse anticipate for the patient? Select all that apply.

Calamine lotion Dexamethasone (Decadron) cream Wet dressing containing Burow's solution

Which medication is used in the treatment of the common wart?

Cantharidin (Cantharone)

Which condition is observed in a patient who uses excessive silver sulfadiazine (Silvadene)?

Crystalluria

What are the adverse reactions associated with the use of paraaminobenzoic acid (PABA) derivatives? Select all that apply.

Dermatitis Photosensitivity reactions

What is the potential side effect of sulfa antibiotics?

Epidermal necrolysis

A patient is receiving silver sulfadiazine (Silvadene) for third-degree burns. Which side effects would the nurse monitor the patient for? Select all that apply.

Erythema Skin necrosis

The nurse is caring for a patient with plaque psoriasis who has been prescribed betamethasone dipropionate (Dermabet). After administering the medication for 2 weeks the nurse finds that the symptoms of plaque psoriasis are persistent. Which medication does the primary health care provider prescribe to the patient in this condition?

Etanercept (Enbrel)

The nurse is caring for a patient with anogenital warts who has a history of skin cancer. Which medication will the nurse expect to be prescribed?

Imiquimod (Aldara)

A patient with alopecia is prescribed topical minoxidil (Rogaine). Which assessment would indicate that the drug has been absorbed systemically?

Increased heart rate

The nurse is assessing a patient with plaque psoriasis who has been prescribed ustekinumab (Stelara). The nurse will teach this patient about what increased risk associated with this drug?

Infections

What are the adverse reactions associated with calcipotriene (Dovonex)?

Irritation Hypercalciuria Hypocalcemia

Which antibiotic is used to treat acne vulgaris by acting on the dermal layer of the skin?

Isotretinoin (Amnesteem)

Which drug is used to treat severe cystic acne?

Isotretinoin (Amnesteem)

The patient has been started on benzoyl-peroxide (Benzac, Persa-Gel) as part of the treatment regimen. The nurse recognizes that this drug belongs to which drug class?

Keratolytic agent

What is the mechanism of action of benzoyl peroxide (Benzac)?

Loosens the outer horny layer of epidermis

A patient who is on medication for second-degree burns complains of reddened, irregularly elevated patches on the skin. Which medication may be responsible for the patient's condition?

Mafenide acetate (Sulfamylon cream)

Which medication is used for the treatment of baldness in men and women?

Minoxidil (Rogaine)

A nurse is caring for two clients, male and female, who are undergoing treatment for baldness. The nurse notices that both clients have been prescribed a medication for baldness, which, when discontinued, will restart hair loss within 3 to 4 months. Which medication was prescribed to the male patient only?

Minoxidil (Rogaine), 5% solution

The nurse will anticipate application of which medication to treat a patient diagnosed with impetigo?

Mupirocin

Which is a side effect of tazarotene (Tazorac)?

Photosensitivity

Which drug promotes desquamation when used as the treatment for common warts?

Salicylic acid

Which intervention is most appropriate for the patient with second-degree burns?

Silver sulfadiazine (Silvadene) cream

Which layer of the skin is abundant in adipose tissue?

Subcutaneous

The nurse is assessing a patient who has inflammation and a burning sensation in the lower back. During the assessment, the nurse finds the presence of sharply demarcated, scaling plaques. What may the nurse suspect based on these findings?

The patient has psoriasis.

A teenage female patient is going to be prescribed isotretinoin (Amnesteem) for acne. Which information is most important for the nurse to include in the education of the patient?

The patient must use at least two forms of contraception while taking this medication.

A nurse is teaching a group of students about the pharmacokinetics of mafenide acetate (Sulfamylon cream) administered for burns. What statements made by a student nurse show the need for further teaching? Select all that apply.

This drug is a weak carbonic anhydrase inhibitor." "This drug should be applied if respiration becomes rapid, labored, and shallow."

Which drug may cause upper respiratory tract infection (URI) as its main side effect?

Ustekinumab (Stelara)

A patient comes to a primary health care provider with burns that are characterized by blisters, mottled skin, and extreme pain. The primary health care provider prescribes mafenide acetate (Sulfamylon) to treat the burn. Which type of burn does this patient have?

deep-thickness

When planning care for a burn patient, the nurse would anticipate applying which topical medication?

silver sulfadiazine (Sulfadine)