Nokea
After teaching a group of nursing students about topical drugs for skin disorders, the instructor determines that the teaching was successful when the students identify which of the following as used to prevent institutional outbreaks of methicillin-resistant Staphylococcus aureus (MRSA)?
- A. Bacitracin
- B. Mupirocin
- C. Retapamulin
- D. Clindamycin
Correct Answer: B
Rationale: Mupirocin is applied to the nasal mucosa to reduce the risk of institutional outbreaks of MRSA, as it effectively targets nasal colonization of the bacteria.
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A nurse is instructing a client about how to apply the topical medication prescribed. Which of the following would the nurse identify as an appropriate way to remove the drug from the container? Select all that apply.
- A. Finger cot
- B. Clean finger
- C. Tongue blade
- D. Gauze pad
- E. Cotton swab
Correct Answer: A,C,D,E
Rationale: Using a finger cot, tongue blade, gauze pad, or cotton swab ensures hygienic application of the topical medication, minimizing contamination and direct skin contact.
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.
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 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.
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.