Nokea
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.
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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.
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 nurse is applying topical collagenase to a client. The nurse would assess the client for which of the following as a possible adverse reaction? Select all that apply.
- A. Mild pain
- B. Urticaria
- C. Numbness
- D. Pruritus
- E. Dermatitis
Correct Answer: A,C,E
Rationale: Possible adverse reactions associated with the topical administration of collagenase (Santyl) include mild, transient pain; possible numbness; and dermatitis.
A nursing instructor is evaluating the students' understanding of topical anti-infectives. The instructor determines that the group understands the information when they pair which drug with the infection treated correctly? Select all that apply.
- A. Erythromycin (Erygel) - acne vulgaris
- B. Ketoconazole (Nizoral) - episodes of HSV
- C. Ciclopirox (Loprox) - tinea pedis
- D. Acyclovir (Zovirax) - episodes of HSV
- E. Bacitracin (Baci-Rx) - tinea corporis
Correct Answer: A,C,D
Rationale: The following topical anti-infective drugs are matched correctly with the infection they treat: erythromycin (Erygel) - acne vulgaris; ciclopirox (Loprox) - tinea pedis; and acyclovir (Zovirax) - episodes of HSV.
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.