Nokea
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.
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A nursing instructor is evaluating the students' understanding of topical anti-infectives. The instructor determines that the group understands the information when they pair which drug with the infection treated correctly? Select all that apply.
- A. Erythromycin (Erygel) - acne vulgaris
- B. Ketoconazole (Nizoral) - episodes of HSV
- C. Ciclopirox (Loprox) - tinea pedis
- D. Acyclovir (Zovirax) - episodes of HSV
- E. Bacitracin (Baci-Rx) - tinea corporis
Correct Answer: A,C,D
Rationale: The following topical anti-infective drugs are matched correctly with the infection they treat: erythromycin (Erygel) - acne vulgaris; ciclopirox (Loprox) - tinea pedis; and acyclovir (Zovirax) - episodes of HSV.
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.
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.
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 nurse is applying a topical agent that aids in the removal of dead soft tissue by hastening the reduction of proteins into simpler substances. Which of the following might the nurse be applying? Select all that apply.
- A. Bacitracin (Baci-Rx)
- B. Papain and urea (Accuzyme)
- C. Vidarabine (Ara-A)
- D. Collagenase (Santyl)
- E. Anthralin (Miconal)
Correct Answer: B,D
Rationale: Topical enzymes, like papain and urea (Accuzyme) and collagenase (Santyl), aid in the removal of dead soft tissue by hastening the reduction of proteins into simpler substances.