Nokea
A client is diagnosed with psoriasis. Which of the following would the nurse expect the primary health care provider to prescribe as topical treatment? Select all that apply.
- A. Chlorhexidine (Hibiclens)
- B. Calcipotriene (Dovonex)
- C. Vidarabine (Ara-A)
- D. Imiquimod (Aldara)
- E. Anthralin (Miconal)
Correct Answer: B,E
Rationale: Anthralin (Miconal) and calcipotriene (Dovonex) are topical antipsoriatics used to treat psoriasis.
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Which of the following would be most important to include in the preadministration assessment of a client who is receiving topical therapy for a skin disorder? Select all that apply.
- A. Size of the area affected
- B. Appearance of the lesions
- C. Report of pain or burning
- D. Client's weight
- E. Blood pressure
Correct Answer: A,B,C
Rationale: The preadministration assessment involves a visual inspection and palpation of the involved area(s). The areas of involvement, including the size, color, and appearance, are carefully measured and documented. The appearance of the skin lesions and reports of pain or burning are noted to establish an accurate baseline for treatment.
A client is prescribed topical betamethasone. Which of the following would the nurse include when explaining the possible adverse reactions that may occur? Select all that apply.
- A. Burning
- B. Dryness
- C. Pruritus
- D. Nausea
- E. Fever
Correct Answer: A,B,C
Rationale: Localized reactions caused by the topical administration of betamethasone that the nurse should discuss with the client include burning, pruritus, irritation, redness, dryness, allergic contact dermatitis, and secondary infection.
A nurse may use a topical antiseptic or germicide for which of the following reasons? Select all that apply.
- A. To reduce the number of bacteria on skin surfaces
- B. As a surgical scrub
- C. As a preoperative skin cleanser
- D. For washing the hands before and after caring for clients
- E. On minor cuts and abrasions to prevent infection
Correct Answer: A,B,C,D,E
Rationale: A nurse may use a topical antiseptic or germicide for the following reasons: to reduce the number of bacteria on skin surfaces, as a surgical scrub, as a preoperative skin cleanser, for washing the hands before and after caring for clients, and on minor cuts and abrasions to prevent infection.
When developing the plan of care for a client with a skin lesion requiring topical therapy, which nursing diagnosis would the nurse most likely identify?
- A. Acute Pain
- B. Risk for Infection
- C. Impaired Skin Integrity
- D. Disturbed Body Image
Correct Answer: C
Rationale: Impaired Skin Integrity is the most likely nursing diagnosis due to the presence of a skin lesion requiring topical therapy, as it directly addresses the compromised skin condition.
A nurse is instructing a client about how to apply the topical medication prescribed. Which of the following would the nurse identify as an appropriate way to remove the drug from the container? Select all that apply.
- A. Finger cot
- B. Clean finger
- C. Tongue blade
- D. Gauze pad
- E. Cotton swab
Correct Answer: A,C,D,E
Rationale: Using a finger cot, tongue blade, gauze pad, or cotton swab ensures hygienic application of the topical medication, minimizing contamination and direct skin contact.