Nokea
A client is prescribed a topical corticosteroid. Which of the following would be appropriate for the nurse to do?
- A. Clean the area with an antiseptic before applying the drug.
- B. Apply the topical corticosteroid sparingly.
- C. Place a sterile cloth over the area of application.
- D. Rub the application into the skin vigorously.
Correct Answer: B
Rationale: Topical corticosteroids should be applied sparingly to minimize systemic absorption and adverse effects. Cleaning with an antiseptic may not be necessary unless directed, and a sterile cloth or vigorous rubbing is not typically recommended.
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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.
The primary health care provider has prescribed dexamethasone sodium phosphate for a client being treated for immunologic skin disorder. Assessment of which of the following would lead the nurse to suspect that the client is experiencing an adverse reaction to the drug?
- A. Redness or mild scaling
- B. Allergic contact dermatitis
- C. Dermatitis and irritation
- D. Photosensitivity
Correct Answer: B
Rationale: The nurse should monitor for allergic contact dermatitis as an adverse reaction to dexamethasone sodium phosphate. Redness or mild scaling and photosensitivity are adverse reactions to hexachlorophene. Dermatitis and irritation are adverse reactions to povidone-iodine.
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.
The nurse should discuss which of the following adverse reactions with a client prior to the topical administration of anthralin (Miconal)? Select all that apply.
- A. Hair discoloration
- B. Discoloration of fingernails
- C. Discoloration of skin
- D. Pruritus
- E. Burning
Correct Answer: A,B,D,E
Rationale: Localized reactions caused by the topical administration of anthralin (Miconal) that the nurse should discuss with the client prior to administration include burning, pruritus, irritation, and temporary discoloration of the fingernails and hair.
After teaching a group of nursing students about topical drugs for skin disorders, the instructor determines that the teaching was successful when the students identify which of the following as used to prevent institutional outbreaks of methicillin-resistant Staphylococcus aureus (MRSA)?
- A. Bacitracin
- B. Mupirocin
- C. Retapamulin
- D. Clindamycin
Correct Answer: B
Rationale: Mupirocin is applied to the nasal mucosa to reduce the risk of institutional outbreaks of MRSA, as it effectively targets nasal colonization of the bacteria.