Chapter 42-Integumentary medications

Question 1

Debriding agents are used to treat all of the following EXCEPT:

Answer 1

surgical wounds.

Question 2

A mother asks the nurse if there is a treatment of choice for both lice and scabies in persons over 2 years of age. The nurse’s best response is:

Answer 2

“Yes, its name is lindane.”- Lindane is effective against both lice and scabies.

Question 3

When teaching a client about becaplermin, the nurse should include:

Answer 3

“It is used to promote healing of your diabetic foot ulcer.”

It is the first drug of its kind approved specifically for the treatment of diabetic foot ulcers.

Question 4

When teaching the diabetic client proper foot care, the nurse recognizes that further teaching is necessary when the client responds:

Answer 4

“I should allow my feet to air dry.”

*****the correct answer is:The client’s feet should be dried thoroughly with a towel especially between the toes.

Question 5

The nurse recognizes that this drug is indicated for both short-term and intermittent long-term treatment of eczema?

Answer 5

pimecrolimus

Question 6

Which of the following is NOT a function of human skin?

Answer 6

It is the site of synthesis for vitamin A.

The skin is a site of vitamin D synthesis.

Question 7

The usual period of time that elapses between the formation of a new epidermal cell and the sloughing of its residue from the skin surface is:

Answer 7

4 weeks- New epidermal cells and the sloughing of cell residue occurs every 28 days.

Question 8

When teaching a client about dry skin, the nurse recognizes which client response as indicating a need for further teaching?

Answer 8

“Treating dry skin is generally easier than preventing it.”

Question 9

To increase the absorption of a topical medication with a prescription, the nurse should:

Answer 9

apply an occlusive dressing.- This will increase absorption, but must be prescribed.

Question 10

When applying a topical medication to a skin lesion, the nurse should work from the:

Answer 10

center of the lesion to the outside.

Question 11

When applying acyclovir, the nurse should:

Answer 11

wear a finger cot or glove. This prevents spread of the herpes simplex or herpes zoster virus.

Question 12

When a procedure, such as a dressing change, will most likely be painful for the burn client, the nurse:

Answer 12

administers pain medication 15 to 20 minutes before the procedure.
Burn clients should be adequately medicated before any painful procedure.

Question 13

When teaching the client about the use of nystatin for oral candidiasis, the nurse instructs the client to:

Answer 13

hold the medication in the mouth for several minutes before swallowing.

Question 14

The nurse instructs the client about the use of tacrolimus by instructing her:

Answer 14

to make sure the skin is free of infection.

Question 15

An emollient is a drug used to:

Answer 15

moisturize the skin.

Question 16

Salicylic acid is an ingredient in many topical drug products. Its primary purpose in these products is to act as a(n):

Answer 16

keratolytic-This is the primary purpose of salicylic acid in topical medications.

Question 17

When caring for a burn client receiving silver sulfadiazine wound care, the nurse should:

Answer 17

monitor serum sulfa concentrations.-Because it is being applied to open lesions and thus being absorbed into systemic circulation, sulfa levels must be monitored.

Question 18

When caring for a client receiving alefacept, the nurse should:

Answer 18

rotate the IM injection sites.-This is necessary to prevent skin breakdown.

Question 19

Collagenase is used most commonly in topical products as a(n):

Answer 19

debriding agent.

Question 20

Which of the following drugs is indicated for the treatment of hair loss?

Answer 20

minoxidil-This is used topically to stimulate hair growth.

Question 21

When caring for clients with skin disorders, the nurse should:

Answer 21

be very sensitive concerning the emotional impact of these disorders.

Question 22

When applying medication to the face the nurse should:

Answer 22

start with the forehead, using horizontal strokes.

The medication should be spread down each side of the face.

Question 23

Your client has a diagnosis of psoriasis and receives a prescription for acitretin. You should monitor the client for all of the following EXCEPT:

Answer 23

excitation

**correct answer:Depression, not excitation, is an adverse effect of acitretin.

Question 24

The nurse would prepare to administer methotrexate by which route?

Answer 24

The nurse would prepare to administer methotrexate by which route?

Question 25

Which of the following would NOT be a necessary action for the nurse as she is caring for a client with acne?

Answer 25

Apply the topical agents firmly, and then cover with a dressing.
The agents should be massaged gently into the skin, and a dressing is not applied to areas of acne.

Question 26

The client diagnosed with rosacea and receiving a product containing azelaic acid should be instructed:

Answer 26

to avoid spicy foods, alcoholic beverages, and thermally hot drinks.
Spicy food, alcoholic beverages, and thermally hot drinks can cause erythema and flushing of the skin.

Question 27

Which of the following statements is NOT true of topical local anesthetics?

Answer 27

The area of skin should be moistened before application of the agent.-The skin should be washed and dried prior to application of the medication.

Question 28

When using an antibiotic skin product that contains neomycin, the nurse should monitor the client for which of the following? Select all that apply.

Answer 28

a. hypersensitivity response.
b. nephrotoxicity.
d. ototoxicity.
e. pruritus.
f. skin dryness.

Question 29

When applying fluorouracil topically, the nurse should do which of the following? Select all that apply.

Answer 29

a. Wear latex or rubber gloves when applying this medication.
b. Wash hands immediately following application of this medication.
e. Use nonmetallic applicators.
f. Avoid contact of medication with eyes, nose, or mouth of the client.

Question 30

Which of the following statements by the nurse recruit are true concerning antiparasitic agents? Select all that apply.

Answer 30

a. They can cause potentially life-threatening neurologic toxicity if ingested or misused.
b. The medications are indicated for treatment of lice and their ova.
c. Sexual contacts of the client should be evaluated and treated.
d. Paresthesia may be an adverse effect.
f. The caregiver should wear gloves when applying the lotion, cream, or shampoo.