Nokea
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.
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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.
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.
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 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.
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.