Nokea
A client is prescribed topical clindamycin therapy. The nurse instructs the client and family about possible systemic effects. The nurse determines that the teaching was successful when they state that they should contact the primary health care provider immediately if which of the following occur? Select all that apply.
- A. Stomach cramps
- B. Severe diarrhea
- C. Bloody stools
- D. Burning
- E. Pruritus
Correct Answer: A,B,C
Rationale: Topical clindamycin can be absorbed in sufficient amounts to cause systemic effects. Severe diarrhea, stomach cramps, or bloody stools indicate potential systemic complications, such as pseudomembranous colitis, requiring immediate medical attention.
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A nurse is caring for a client who has been prescribed lidocaine viscous to be used for pain control of the oral mucosa. Which of the following instructions regarding the intake of food should the nurse give the client?
- A. Drink plenty of water along with food.
- B. Avoid intake of heavy and fibrous food.
- C. Ensure the food is not too hot or cold.
- D. Do not eat food for 1 hour after use.
Correct Answer: D
Rationale: When lidocaine viscous is used for oral anesthesia to control pain, the nurse instructs the client not to eat food for 1 hour after use because local anesthesia of the mouth or throat may impair swallowing and increase the possibility of aspiration.
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 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 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.
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.