Pharmacology - Integumentary Medications.txt

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Pharmacology - Integumentary Medications.txt
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  1. Salicylic acid is prescribed for a client with a diagnosis 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 respirations
    1. Tinnitus
  2. Mafenide acetate (Sulfamylon) is prescribed for a client with a burn injury. When applying the medication, the client complains of local discomfort and burning. The nurse should take which most appropriate action?
    1. Discontinue the medication.
    2. Notify the health care provider.
    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
  3. A burn client is receiving treatments 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 blood pressure
    4. Local pain at the burn site
    1. Hyperventilation
  4. Isotretinoin (Amnesteem or Claravis) is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed?
    1. Platelet count
    2. Triglyceride level
    3. Complete blood count
    4. White blood cell count
    2. Triglyceride level
  5. A client with severe acne is seen in the clinic and the health care provider (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. Vitamin A
    2. Digoxin (Lanoxin)
    3. Furosemide (Lasix)
    4. Phenytoin (Dilantin)
    1. Vitamin A
  6. The nurse is applying a topical corticosteroid 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
  7. 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 prescription, the nurse would suspect that the client is being treated for which condition?
    1. Acne
    2. Eczema
    3. Hair loss
    4. Herpes simplex
    1. Acne
  8. Silver sulfadiazine (Silvadene, Thermazene, SSD cream) 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?
    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."
  9. 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 applied at which times?
    1. Immediately before swimming
    2. 5 minutes 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
  10. 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
  11. 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."
  12. 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.
  13. 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
  14. A home health nurse is visiting a client who has been started on therapy with clotrimazole (Lotrimin). The nurse determineseffectiveness of the medication by noting a decrease in which problem?
    1. Pain
    2. Rash
    3. Fever
    4. Sneezing
    2. Rash
  15. 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.
  16. 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?
    1. Apply the shampoo as prescribed for 10 days in a row.
    2. Apply the shampoo to the entire head, neck, and chest area.
    3. Work the shampoo into dry hair, and leave it in place for 4 minutes.
    4. Leave the shampoo on for 8 to 12 hours and then remove by washing.
    3. Work the shampoo into dry hair, and leave it in place for 4 minutes.
  17. 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
  18. 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
  19. 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?
    1. "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."
  20. 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
  21. 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
  22. 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. "I The medication is used to treat my eczema."
    3. "I need to massage a thin film gently into the affected area."
    4. "I need to wash and dry my skin before I apply the medication."
    2. "I The medication is used to treat my eczema."
  23. 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 amount of solution at bedtime."
    2. "I will apply the prescribed amount of solution twice a day."
    3. "I will apply the prescribed amount of solution four times a day."
    4. "I will apply the prescribed amount of solution three times a day."
    2. "I will apply the prescribed amount of solution twice a day."
  24. Minoxidil (Rogaine) is prescribed for a client to treat hair loss. The client asks the nurse if the hair will continue to grow when the medication is stopped. What is the appropriate nursing response?
    1. "The hair will continue to grow."
    2. "Newly gained hair is lost in 3 to 4 months."
    3. "I'm not sure—you need to ask your health care provider."
    4. "It depends on how long you have been taking the medication."
    2. "Newly gained hair is lost in 3 to 4 months."
  25. 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."
  26. 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)
  27. 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."
  28. Mafenide acetate (Sulfamylon) is prescribed for a client with a burn injury to the hand. Which should the nurse include in the instructions to the client regarding the use of this medication?
    1. If stinging occurs, discontinue the medication.
    2. Apply a thinner film than prescribed to the burn site if the medication stings.
    3. It is normal to experience local discomfort and stinging and burning after the medication is applied.
    4. If local stinging and burning occur after the medication is applied, notify the health care provider.
    3. It is normal to experience local discomfort and stinging and burning after the medication is applied.
  29. A burn-injured client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of injury. The nurse should monitor the client for which systemic effect that can occur from the use of this medication?
    1. Acidosis
    2. Alkalosis
    3. Hypotension
    4. Hypertension
    1. Acidosis
  30. A Vigilon nonocclusive burn dressing is prescribed for a client with a partial-thickness burn to the hand. The nurse includes which intervention in the plan of care regarding this treatment?
    1. Change the Vigilon dressing weekly.
    2. Change the Vigilon dressing every 3 days.
    3. Apply the Vigilon dressing over a sterile dry dressing.
    4. Secure the Vigilon dressing over the wound with tape.
    4. Secure the Vigilon dressing over the wound with tape.
  31. Sodium hypochlorite (Dakin's) solution is prescribed for a client with a wound on the left foot that is draining purulent material. Which action should the nurse plan to take?
    1. Irrigate the wound with the solution.
    2. Soak the foot in the solution for 20 minutes daily.
    3. Place the solution in the wound and cover with an occlusive dressing.
    4. Soak a sterile dressing with the solution and pack the dressing into the wound.
    1. Irrigate the wound with the solution.
  32. Tretinoin (Retin-A) is prescribed for a client with acne, and the nurse provides instructions to the client regarding the medication. Which statement by the client indicates a need for further instruction?
    1. "I need to avoid exposure to the sun."
    2. "I should start to see results in 2 to 3 weeks."
    3. "I will cleanse the skin thoroughly before applying the medication."
    4. "If my skin begins to peel, I will notify the health care provider (HCP)."
    4. "If my skin begins to peel, I will notify the health care provider (HCP)."
  33. The nurse provides instructions to a client regarding the use of tretinoin (Retin-A). Which statement by the client indicates a need for further instruction?
    1. "I should begin to see results in about 3 weeks."
    2. "I will apply the medication liberally to the skin."
    3. "I will wash my hands thoroughly after applying this medication."
    4. "I cannot use any cosmetics while I am using this medication."
    4. "I cannot use any cosmetics while I am using this medication."
  34. Isotretinoin (Claravis) is prescribed for a client to treat severe cystic acne, and the nurse provides instructions to the client regarding the medication. Which statement by the client indicates a need for further instruction?
    1. "I need to take the medication with food."
    2. "I will be taking the medication twice a day."
    3. "I will need to take the medication for 15 to 20 weeks."
    4. "I can crush the tablets if I have difficulty swallowing them."
    4. "I can crush the tablets if I have difficulty swallowing them."
  35. Isotretinoin (Claravis) is prescribed for a client with severe acne. The nurse instructs the client regarding the importance of follow-up assessments to evaluate which laboratory value?
    1. Cholesterol level
    2. Triglyceride level
    3. Sedimentation rate
    4. Complete blood cell count
    2. Triglyceride level
  36. A health care provider (HCP) prescribes isotretinoin (Claravis) for a client with severe acne. The nurse reviews the client's record and notifies the HCP if which prescribed medication is noted on the medication record?
    1. Digoxin (Lanoxin)
    2. Furosemide (Lasix)
    3. Phenytoin (Dilantin)
    4. Doxycycline (Vibramycin)
    4. Doxycycline (Vibramycin)
  37. The health care provider has prescribed a topical anti-inflammatory cream for a client with a muscular sprain. The nurse provides instructions to the client regarding the medication. Which statement by the client indicates an understanding of this prescribed treatment?
    1. "The medication is addicting."
    2. "The medication will act as a local anesthetic."
    3. "I will apply a heating pad to the area after applying the medication."
    4. "The medication may make me sleepy but will stop the muscle spasms."
    2. "The medication will act as a local anesthetic."
  38. Collagenase (Santyl) is prescribed for a client with a severe burn to the hand. The home care nurse provides instructions to the client regarding the use of the medication. Which client statement indicates an accurate understanding of the use of this medication?
    1. "I will apply the ointment at bedtime and in the morning."
    2. "I will apply the ointment once a day and leave it open to the air."
    3. "I will apply the ointment twice a day and leave it open to the air."
    4. "I will apply the ointment once a day and cover it with a sterile dressing."
    4. "I will apply the ointment once a day and cover it with a sterile dressing."
  39. Lindane is prescribed to a client for the treatment of scabies. The nurse reviews the client's record knowing that this medication is contraindicated in which client?
    1. An older client
    2. A 6-year-old child
    3. A 42-year-old woman
    4. A 52-year-old man with hypertension
    2. A 6-year-old child
  40. Hydrocolloid gel (DuoDERM) is prescribed for a client with a leg ulcer. The home health nurse is preparing a plan of care for the client and should appropriately document which intervention?
    1. Changing the DuoDERM daily
    2. Changing the DuoDERM every 3 to 5 days
    3. Applying the DuoDERM over a dry, sterile dressing
    4. Applying the DuoDERM over a normal saline-soaked dressing
    2. Changing the DuoDERM every 3 to 5 days
  41. A nurse is caring for a client with a burn injury to the lower legs. Nitrofurazone is prescribed to be applied to the sites of injury. Which action should the nurse document in the plan of care as the appropriate method for applying this medication?
    1. Apply a thick layer directly to the burn sites.
    2. Apply a 1/16-inch film directly to the burn sites.
    3. Apply saline-soaked dressings over the medication.
    4. Apply a ½-inch film around the burn sites after cleansing the wounds.
    2. Apply a 1/16-inch film directly to the burn sites.
  42. The health care provider has prescribed coal tar treatments for a client with psoriasis, and the nurse provides information to the client about the treatments. Which statement, if made by the client, indicates a need for further education about the treatments?
    1. "The medication has an unpleasant odor."
    2. "The medication can cause phototoxicity."
    3. "The medication can stain the skin and hair."
    4. "The medication always causes systemic toxicity."
    4. "The medication always causes systemic toxicity."
  43. Sodium hypochlorite (Dakin's solution) is prescribed for a client with a leg wound that is draining purulent material. The home health nurse teaches a family member how to perform wound treatments. Which statement, if made by the family member, indicates a need for further teaching?
    1. "A fresh solution needs to be prepared frequently."
    2. "I should rinse the solution off immediately after the irrigation."
    3. "The solution should not come in contact with normal skin tissue."
    4. "I will soak a sterile dressing with solution and pack it into the wound."
    4. "I will soak a sterile dressing with solution and pack it into the wound."
  44. The nurse has provided instructions to a client regarding the use of tretinoin (Retin-A). Which statement, if made by the client, indicates the need for further instructions?
    1. "I must apply it to wet to damp skin."
    2. "Optimal results will be seen after 6 weeks."
    3. "I will wash my hands thoroughly after applying the medication."
    4. "I will cleanse the skin thoroughly before applying the medication."
    1. "I must apply it to wet to damp skin."
  45. A client is seen in the clinic for complaints of skin itchiness that has persisted for several weeks. After an assessment, the client is determined to have scabies. Lindane is prescribed, and the nurse provides instructions to the client regarding the use of the medication. Which action should the nurse tell the client to take?
    1. Apply the cream for 2 days in a row.
    2. Apply a thick layer of cream to the entire body.
    3. Apply the cream to the entire body and scalp, excluding the face.
    4. Leave the cream on for 8 to 12 hours, and then remove it by washing.
    4. Leave the cream on for 8 to 12 hours, and then remove it by washing.
  46. A topical corticosteroid is prescribed for a client with dermatitis. The nurse provides instructions to the client regarding the use of the medication. Which statement by the client would indicate a need for further instruction?
    1. "I need to apply the medication in a thin film."
    2. "I should gently rub the medication into the skin."
    3. "The medication will help relieve the inflammation and itching."
    4. "I should place a bandage over the site after applying the medication."
    4. "I should place a bandage over the site after applying the medication."
  47. Dextranomer is prescribed for a client with a pressure ulcer. The nursing instructor asks a nursing student, who is preparing to perform the treatment, about the medication and the procedure. Which statement, if made by the student, indicates a need for further research?
    1. "It is effective in wet wounds."
    2. "It should be packed lightly into the wound."
    3. "The wound bed must be dried thoroughly before the medication is applied."
    4. "Maceration of tissue surrounding the wound can occur from the medication."
    3. "The wound bed must be dried thoroughly before the medication is applied."
  48. 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?
    7 days
  49. Isotretinoin (Claravis) is prescribed for a client with severe cystic acne. The nurse provides instructions to the client regarding administration of the medication. Which phrase, if stated by the client, would indicate a need for further teaching regarding this medication?
    1. "I need to continue to take my vitamin A supplements."
    2. "The medication may cause dryness and burning in my eyes."
    3. "I need to use emollients and lip balms for my dry skin and lips."
    4. "I will need to return for a blood test to check my triglyceride level."
    1. "I need to continue to take my vitamin A supplements."
  50. A burn client has been having 1% silver sulfadiazine applied to burns twice a day for the last 3 days. Which laboratory abnormality indicates that the client is experiencing an adverse effect of this medication?
    1. Serum sodium of 120 mEq/L
    2. Serum potassium of 3.0 mEq/L
    3. White blood cells of 3000 cells/mm3
    4. pH 7.30, Pco2 of 35 mm Hg, HCO3 of 19 mEq/L
    3. White blood cells of 3000 cells/mm3
  51. A nurse is providing instructions to a mother of a child with atopic dermatitis (eczema) regarding the application of topical cortisone cream to the affected skin sites. Which statement, if made by the mother, indicates an understanding of the use of this medication?
    1. "I shouldn't rub the medication into the skin."
    2. "The medication is applied everywhere except the face."
    3. "I need to wash the sites gently before I apply the medication."
    4. "I need to apply the medication generously and allow it to absorb."
    3. "I need to wash the sites gently before I apply the medication."
  52. A client with psoriasis is being treated with calcipotriene (Dovonex) cream. Administration of high doses of this medication can cause which adverse effect?
    1. Alopecia
    2. Hyperkalemia
    3. Hypercalcemia
    4. Thinning of the skin
    3. Hypercalcemia
  53. Collagenase (Santyl) is prescribed for a client with a severe burn to the hand. The nurse is providing instructions to the client and spouse regarding wound treatment. Which should the nurse include in the instructions?
    1. Apply once a day and leave it open to the air.
    2. Apply twice a day and leave it open to the air.
    3. Apply twice a day and cover it with a sterile dressing.
    4. Apply once a day and cover it with a sterile dressing.
    4. Apply once a day and cover it with a sterile dressing.
  54. The nurse is caring for a client at home with a diagnosis of actinic keratosis. The client tells the nurse that her skin is very dry and irritated. The treatment includes diclofenac sodium (Solaraze). The nurse teaches the client that this medication is from which class of medications?
    1. Anti-infectives
    2. Vitamin A lotions
    3. Coal tar preparations
    4. Nonsteroidal anti-inflammatory drugs (NSAIDs)
    4. Nonsteroidal anti-inflammatory drugs (NSAIDs)
  55. A client with muscle aches and a diagnosis of rheumatism has been given a prescription for capsaicin topical cream. The nurse determines that the client understands the use of the medication if the client makes which statement?
    1. The medication will act as a local analgesic.
    2. The medication acts by decreasing muscle spasms.
    3. The medication will cause redness, flaking, and the skin to peel.
    4. A heating pad should be put on the area after applying the medication.
    1. The medication will act as a local analgesic.
  56. A client with a burn injury is applying mafenide (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. The nurse should instruct the client to take which action?
    1. Discontinue the medication.
    2. Continue with the treatment, as this is expected.
    3. Apply a thinner film than prescribed to the burn site.
    4. Come to the office to see the health care provider (HCP) immediately.
    2. Continue with the treatment, as this is expected.
  57. A client with an infected leg wound that is draining purulent material has a prescription for sodium hypochlorite (Dakin solution) to be used in the care of the wound. The nurse should implement which action while using this solution?
    1. Rinse off immediately following irrigation.
    2. Pour onto sterile sponges, and pack in wound.
    3. Let the solution run freely over normal skin tissue.
    4. Use each bottle of solution for 2 weeks before replacing.
    1. Rinse off immediately following irrigation.
  58. An adolescent with severe cystic acne has been prescribed isotretinoin (Claravis). Which statement by the client would suggest the need for further teaching?
    1. "I will return to the clinic for blood tests."
    2. "If my lips begin to burn, it is probably because of the medication."
    3. "My eyes may become dry and burn as a result of the medication."
    4. "I need to take my vitamin A supplement so that the treatment will work."
    4. "I need to take my vitamin A supplement so that the treatment will work."
  59. An ambulatory care client with allergic dermatitis has been given a prescription for a tube of diphenhydramine (Benadryl) 1% to use as a topical agent. The nurse determines that the medication was effective if which finding was noted?
    1. Nighttime sedation
    2. Decrease in urticaria
    3. Absence of ecchymoses
    4. Healing of burned tissue
    2. Decrease in urticaria

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