Deck 56: Dermatological Drugs

Question 1

Which medication is not to be used during pregnancy?

A)clindamycin
B)isotretinoin
C)ciclopirox
D)clotrimazole

Answer 1

isotretinoin

Question 2

A patient is to receive a topical corticosteroid for the treatment of psoriasis.Which form is generally the most penetrating when applied to the skin?

A)Gel
B)Lotion
C)Cream
D)Ointment

Answer 2

Ointment

Question 3

A father calls the clinic because his son has head lice.He reports to the nurse that he has used "that special stuff you spray on to the hair,but nothing is happening." What should be the nurse's first recommendation?

A)Get a prescription for a second product, malathion.
B)Add a lotion product that remains on the scalp for 8 hours.
C)Use a nit comb to remove nits from the hair shafts.
D)Comb through the hair with mineral oil to loosen the lice from the hair shafts.

Answer 3

Use a nit comb to remove nits from the hair shafts.

Question 4

A woman has suffered a second-degree burn on her arm and hand while cooking breakfast.After examination in the emergency department,silver sulfadiazine (Flamazene)is recommended for her burns.What important information should the nurse give the patient in regard to the application of this cream?

A)The area should not be cleansed before reapplication.
B)The cream should be massaged completely into the wound.
C)A thick layer of the cream should be applied over the burned area, and the area should be left open.
D)A thin layer of the cream should be applied with a sterile gloved hand to debrided, clean areas.

Question 5

Which medication is likely to be prescribed for a child with impetigo?

A)minoxidil (Loniten)
B)nystatin (Flagylstatin)
C)acyclovir (Zovirax)
D)mupirocin (Bactroban)

Question 6

Which are true statements regarding topical dermatological drugs? Select all that apply.

A)Lotion should be applied liberally to affected sites.
B)Lotion should be applied sparingly to affected areas.
C)Affected areas should be covered with occlusive dressings.
D)Exposure to sunlight should be avoided by using a sunscreen.
E)Exposure to sunlight helps the skin by drying the affected areas.
F)The use of tanning beds should be avoided.
G)Treatment should be discontinued when skin condition improves.

Question 7

A patient is receiving treatment with minoxidil (Rogaine)for thinning hair.What important information should the nurse give the patient in regard to this treatment?

A)The product is applied once daily, in the morning.
B)Systemic absorption of topically applied minoxidil is rare.
C)Results may be seen as soon as 2 weeks after beginning therapy.
D)Systemic absorption may cause tachycardia, fluid retention, and weight gain.

Question 8

A teenage boy is taking tretinoin (Rejuva-A)for his acne.What important information should the nurse give him?

A)He should avoid foods heavy in salt and oils.
B)The drug may cause increased redness of the skin.
C)He should use abrasive cleansers to remove old skin layers.
D)Extremes of weather and sunlight should not bother him during therapy.

Question 9

Which is a true statement regarding the dermis layer of the skin?

A)The dermis does not have a direct blood supply.
B)It forms the protective layer of the entire body.
C)Outer dead cells contain a water-repellent protein known as keratin.
D)It provides extra support with blood vessels, with nerves, and with lymphatic, elastic, and connective tissues.

Question 10

A 55-year-old obese patient was diagnosed with candidiasis in the skin folds under her breasts.At a follow-up visit 2 months after diagnosis,she reports that the candidiasis has returned.She tells the nurse that she applied the medicine for a week and then stopped because the itching went away and the cream was messy.What is the best information she can give this patient in regard to the patient's fungal infection?

A)Fungal infections often require prolonged therapy.
B)Fungal infections usually subside in a week or so; the patient must have caught a new infection.
C)If the cream is messy, the patient should apply a dressing.
D)This infection will probably never be cured.