Nokea
A client is prescribed a topical corticosteroid. The nurse understands that this drug is used in the treatment of which of the following conditions? Select all that apply.
- A. Psoriasis
- B. Eczema
- C. Asthma exacerbation
- D. Rheumatoid arthritis
- E. Insect bites
Correct Answer: A,B,E
Rationale: Topical corticosteroids are used in the treatment of the following conditions: psoriasis, eczema, dermatitis, rashes, insect bites, and first- and second-degree burns.
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Chlorhexidine gluconate is being used in a client for preoperative skin preparation. Which of the following if noted would alert the nurse to a possible adverse reaction?
- A. Taste perversion
- B. Headache
- C. Deafness
- D. Mild erythema
Correct Answer: C
Rationale: The nurse should monitor for deafness as an adverse reaction to the use of chlorhexidine gluconate. Taste perversion, headache, and mild erythema are adverse reactions to penciclovir.
A nurse administering collagenase (Santyl) topically to a client must be certain not to use which of the following products that can inactivate the enzymes in collagenase (Santyl)? Select all that apply.
- A. Detergents
- B. Water
- C. Iodine
- D. Silver
- E. Mercury
Correct Answer: A,D,E
Rationale: A nurse administering collagenase (Santyl) topically to a client must be certain not to use detergents or products containing heavy metals, like mercury and silver, which can inactivate the enzymes in collagenase (Santyl).
A nurse is preparing to administer a keratolytic based on the understanding that this drug is used to treat which of the following skin disorders? Select all that apply.
- A. Psoriasis
- B. Warts
- C. Acne vulgaris
- D. Seborrheic keratoses
- E. Corns
Correct Answer: B,D,E
Rationale: Keratolytics are used to treat the following skin disorders: warts, calluses, corns, and seborrheic keratoses.
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.
A nurse is applying a topical agent that aids in the removal of dead soft tissue by hastening the reduction of proteins into simpler substances. Which of the following might the nurse be applying? Select all that apply.
- A. Bacitracin (Baci-Rx)
- B. Papain and urea (Accuzyme)
- C. Vidarabine (Ara-A)
- D. Collagenase (Santyl)
- E. Anthralin (Miconal)
Correct Answer: B,D
Rationale: Topical enzymes, like papain and urea (Accuzyme) and collagenase (Santyl), aid in the removal of dead soft tissue by hastening the reduction of proteins into simpler substances.