Nokea
A nurse is reviewing topical drugs. The nurse demonstrates understanding of the information when the nurse identifies which drug as temporarily inhibiting the conduction of impulses from sensory nerve fibers? Select all that apply.
- A. Bacitracin (Baci-Rx)
- B. Papain and urea (Accuzyme)
- C. Lidocaine (Xylocaine)
- D. Dibucaine (Nupercainal)
- E. Anthralin (Miconal)
Correct Answer: C,D
Rationale: Topical local anesthetics, like lidocaine (Xylocaine) and dibucaine (Nupercainal), are examples of topical drugs that temporarily inhibit the conduction of impulses from sensory nerve fibers.
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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.
The nurse might suspect a hypersensitivity reaction has occurred in a client using azelaic acid (Azelex) if the client experiences a combination of which of the following? Select all that apply.
- A. Pruritus
- B. Urticaria
- C. Vomiting
- D. Erythema
- E. Mental status changes
Correct Answer: A,B,D
Rationale: Topical anti-infectives, like azelaic acid (Azelex), result in a rash, pruritus, urticaria, dermatitis, irritation, and erythema, which may indicate a hypersensitivity reaction to the drug.
Which of the following would be most important to include in the preadministration assessment of a client who is receiving topical therapy for a skin disorder? Select all that apply.
- A. Size of the area affected
- B. Appearance of the lesions
- C. Report of pain or burning
- D. Client's weight
- E. Blood pressure
Correct Answer: A,B,C
Rationale: The preadministration assessment involves a visual inspection and palpation of the involved area(s). The areas of involvement, including the size, color, and appearance, are carefully measured and documented. The appearance of the skin lesions and reports of pain or burning are noted to establish an accurate baseline for treatment.
Which of the following might nurses use to clean their hands before and after caring for a client? Select all that apply.
- A. Chlorhexidine (Hibiclens)
- B. Fluocinonide (Lidex)
- C. Hexachlorophene (pHisoHex)
- D. Imiquimod (Aldara)
- E. Ketoconazole (Nizoral)
Correct Answer: A,C
Rationale: Topical antiseptics, like chlorhexidine (Hibiclens) and hexachlorophene (pHisoHex), can be used by nurses to clean their hands before and after caring for a client.
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.