Nokea
A client is diagnosed with dermatitis and the skin appears inflamed. Which topical drug would the nurse expect to administer to reduce itching, redness, and swelling caused by dermatitis? Select all that apply.
- A. Erythromycin (Erygel)
- B. Fluocinonide (Lidex)
- C. Penciclovir (Denavir)
- D. Imiquimod (Aldara)
- E. Hydrocortisone (Locoid)
Correct Answer: B,E
Rationale: Topical corticosteroids, like fluocinonide (Lidex) and hydrocortisone (Locoid), when applied to inflamed skin reduce itching, redness, and swelling caused by dermatitis.
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A client is prescribed topical benzocaine. The nurse would monitor the client for which of the following as a possible adverse reaction?
- A. Stinging, tenderness, and sloughing
- B. Erythema, flaking, and dryness
- C. Transient burning sensation
- D. Oiliness or dryness of hair
Correct Answer: A
Rationale: The nurse should monitor for stinging, tenderness, and sloughing in the client as adverse reactions to benzocaine. Erythema, flaking, and dryness are adverse reactions to masoprocol. A transient burning sensation is an adverse reaction to collagenase. Oiliness or dryness of the hair is an adverse reaction to selenium sulfide.
A nurse is providing care to two clients, one with a Staphylococcus aureus skin infection and another with a Streptococcus pyogenes infection. Which of the following would the nurse expect the primary health care provider to prescribe? Select all that apply.
- A. Mupirocin (Bactroban)
- B. Acyclovir (Zovirax)
- C. Ketoconazole (Nizoral)
- D. Metronidazole (Metro-Gel)
- E. Retapamulin (Altabax)
Correct Answer: A,E
Rationale: Mupirocin (Bactroban) and retapamulin (Altabax) are topical anti-infectives that can be used to treat Staphylococcus aureus and Streptococcus pyogenes infections of the skin.
A client is to receive topical masoprocol. The nurse alerts the client to the possibility of which of the following as an adverse reaction? Select all that apply.
- A. Mild pain
- B. Scaling
- C. Numbness
- D. Flu-like syndrome
- E. Dry skin
Correct Answer: B,D,E
Rationale: Adverse reactions related to the topical administration of masoprocol (Actinex) include transient burning sensation, rash, dry skin, scaling, and flu-like syndrome.
After conducting an in-service program for a group of nurses about topical drugs used to treat skin disorders, the presenter determines that the teaching was successful when the group identifies which of the following as an appropriate use for topical enzymes? Select all that apply.
- A. Widespread psoriasis
- B. Chronic dermal ulcers
- C. First-degree sunburn
- D. Severely burned areas
- E. Tinea pedis
Correct Answer: B,D
Rationale: A nurse may apply a topical enzyme to a client with chronic dermal ulcers or severely burned areas. Topical enzymes are not used for widespread psoriasis, first-degree sunburn, or tinea pedis.
A client is prescribed topical triamcinolone. The nurse is aware that the client may experience systemic adverse reactions. Which of the following might the nurse assess? Select all that apply.
- A. Hyperglycemia
- B. Myasthenia gravis
- C. Cushing's syndrome
- D. Nausea
- E. Fever
Correct Answer: A,C
Rationale: Systemic reactions caused by the topical administration of triamcinolone (Aristocort) that the nurse should be alert for include hypothalamic-pituitary-adrenal axis suppression, Cushing's syndrome, hyperglycemia, and glycosuria.