Nokea
A child has been diagnosed with impetigo, a skin infection. The nurse anticipates that which drug will be used to treat this condition?
- A. Spinosad
- B. Nystatin
- C. Acyclovir
- D. Mupirocin
Correct Answer: D
Rationale: Mupirocin is used on the skin for treatment of staphylococcal and streptococcal impetigo. Spinosad is used for pediculosis; nystatin is an antifungal drug; and acyclovir is an antiviral drug.
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A woman suffered a second-degree burn of the skin on her arm and hand while cooking breakfast. After examination in the urgent care center, silver sulfadiazine cream is ordered for the burned area. The nurse will apply the medication using which procedure?
- A. Gently patting a moderate amount over the burned area
- B. Massaging the cream completely into the wound
- C. Applying a thick layer over the burned area, and then leaving the area open
- D. Applying a thin layer with a sterile, gloved hand to clean and debrided areas
Correct Answer: D
Rationale: Apply a thin layer of medication with a sterile, gloved hand to clean and debrided wounds.
The nurse is reviewing the medical record of a patient who is to receive wound care with topical silver sulfadiazine. Which finding, if noted, would be a potential contraindication?
- A. The patient has an open wound from a burn on her arm.
- B. The patient is allergic to sulfonamide drugs.
- C. The patient is allergic to shellfish.
- D. The patient's burn wound has been debrided.
Correct Answer: B
Rationale: Patients with allergies to sulfonamide drugs must not receive silver sulfadiazine.
A patient asks about using minoxidil for hair thinning. Which statement about minoxidil is accurate?
- A. The product is applied once daily in the morning.
- B. Systemic absorption of topically applied minoxidil is rare.
- C. Results may be seen as soon as 2 weeks after beginning therapy.
- D. Systemic absorption may cause tachycardia, fluid retention, and weight gain.
Correct Answer: D
Rationale: Results of minoxidil therapy may not be seen for 4 months after beginning therapy. The product is applied twice daily, morning and evening, and systemic effects may result because of absorption.
A child is being treated for head lice with spinosad. Which of these statements about treatment with spinosad is true? (Select all that apply.)
- A. You will need a prescription for a second product, malathion.
- B. You will also need to decontaminate clothes and personal items.
- C. Be sure to use a nit comb to remove nits from the hair shafts.
- D. Try combing through the hair with mineral oil to loosen the lice from the hair shafts.
- E. It is not necessary to comb the nits when using spinosad.
Correct Answer: B,E
Rationale: The clothing and personal articles of the infested person must be decontaminated. This is best accomplished by washing them in hot, soapy water or by dry cleaning them. Spinosad offers the benefit of not requiring nit combing as do the other treatments, and is a single treatment drug.
A female patient will be starting therapy with oral isotretinoin as part of treatment for severe acne, and the nurse is providing teaching. Which teaching point will the nurse include in her teaching plan about isotretinoin?
- A. You will have to use two contraceptive methods while on this drug.
- B. You must avoid sexual activity while on this drug.
- C. You will have to avoid pregnancy for 2 weeks after taking this drug.
- D. If you are taking an oral contraceptive, you may take this drug.
Correct Answer: A
Rationale: It is now required that at least two contraceptive methods be used by sexually active women during and for 1 month after completion of therapy with isotretinoin.