Nokea
A client is prescribed topical triamcinolone. The nurse is aware that the client may experience systemic adverse reactions. Which of the following might the nurse assess? Select all that apply.
- A. Hyperglycemia
- B. Myasthenia gravis
- C. Cushing's syndrome
- D. Nausea
- E. Fever
Correct Answer: A,C
Rationale: Systemic reactions caused by the topical administration of triamcinolone (Aristocort) that the nurse should be alert for include hypothalamic-pituitary-adrenal axis suppression, Cushing's syndrome, hyperglycemia, and glycosuria.
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After teaching a group of nursing students about the use of salicylic acid (Duofilm), the instructor determines that the teaching was successful when the students identify which of the following as a contraindication? Select all that apply.
- A. Genital warts
- B. Facial warts
- C. Mucous membrane warts
- D. Moles
- E. Birthmarks
Correct Answer: A,B,C,D,E
Rationale: The use of salicylic acid (Duofilm) is contraindicated in the following situations: on moles, birthmarks, warts with hair growing from them, genital or facial warts, warts on mucous membranes, or infected skin.
A client is prescribed a topical corticosteroid. The nurse understands that this drug would be contraindicated in which of the following circumstances? Select all that apply.
- A. Monotherapy for bacterial skin infections
- B. Ophthalmic use
- C. Otic use
- D. Monotherapy for widespread plaque psoriasis
- E. Low-potency corticosteroids on the face, groin, or axilla
Correct Answer: A,B,D
Rationale: The use of topical corticosteroids is contraindicated in the following circumstances: known hypersensitivity to the drug or any component of the drug; as monotherapy for bacterial skin infections; high-potency corticosteroids for use on the face, groin, or axilla; for ophthalmic use; and as monotherapy in widespread plaque psoriasis.
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.
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.
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.