Deck 73: Pharmacotherapy of Dermatologic Disorders

Question 1

A mother tells the nurse that head lice have been discovered in her child's hair.What is the best instruction by the nurse?

A)Purchase a lotion and apply it to your child's scalp.Leave it on for 12 hours."
B)Purchase a lotion and apply it to your child's head three times a day for 2 weeks."
C)Purchase a lotion,apply it to your child's head and body,and leave it on for 24 hours."
D)Purchase a lotion and apply it to your child's scalp for 10 minutes."

Answer 1

Purchase a lotion and apply it to your child's scalp for 10 minutes."

Question 2

An adolescent is taking isotretinoin (Accutane)for treatment of severe acne.The nurse has completed medication education with the mother and evaluates that additional learning is required when the mother states:

A)I will pay particular attention to her mood now."
B)I will be sure she has a monthly period."
C)She might complain of aches and pain."
D)We will need to check her cholesterol levels."

Answer 2

I will be sure she has a monthly period."

Question 3

Clients in a nursing home have been prescribed permethrin (Nix)for head lice.The nurse will the order for the client who has:

A)seizures.
B)hypothyroidism.
C)diabetes mellitus.
D)an allergy to sulfites.

Answer 3

an allergy to sulfites.

Question 4

The nurse is preparing to apply a topical cream to a client with psoriasis.What will the nurse do prior to applying this lotion?

A)Use a mask to avoid inhaling the fumes.
B)Obtain a tongue blade for the application.
C)Give the cream to the client to apply.
D)Put on gloves before the application.

Question 5

What should the nurse include when teaching a group of adolescents about the structure and function of the skin?
Select all that apply.

A)The amount of subcutaneous tissue varies and is determined by nutritional status and heredity.
B)The epidermis provides a foundation for the accessory structures,such as hair and nails.
C)Keratin is found in areas subject to mechanical stress such as the palms of the hands.
D)Most receptor nerve endings,oil glands,sweat glands,and blood vessels are found within the subcutaneous fat.
E)The outermost layer of the epidermis serves as the major waterproof barrier to the environment.

Question 6

A client with psoriasis will be receiving infliximab (Remicade).What will the nurse instruct the client about this medication?
Select all that apply.

A)An increase in infections can occur with this medication.
B)Latent infections can be reactivated with this medication.
C)This medication can only be administered through the intravenous route.
D)This medication is very expensive.
E)Multiple oral doses will need to be taken every day for several months.

Question 7

The nurse,teaching a client about safety when using topical scabicide medications,determines instruction has been effective when the client states:

A)I need to sign a consent for this medication."
B)I should cover the area with a clean cloth."
C)I must avoid putting this lotion around my eyes."
D)I will need help in showering to remove the lotion."

Question 8

A client is frantic because her two children have been sent home from school with head lice.She has treated their scalps but does not know what else to do.What is the best teaching by the nurse?

A)Isolate the children from other family members for three days."
B)Just continue to apply the medication to their scalps as directed."
C)Do not let your children return to the school until it is fumigated."
D)Wash bed linens and clothing that have come into contact with the children."

Question 9

The client receives a topical medication for treatment of a skin disorder.The nurse completes medication education and evaluates that learning has occurred when the client makes which statements?
Select all that apply.

A)My medication only needs to be applied once a day."
B)My daughter has a similar problem,so she can use this too."
C)I do not need to shower prior to using this medication."
D)I will call my doctor if I notice a change in my symptoms."
E)I will apply the medication only to the affected area."

Question 10

What will the nurse instruct a client who is recovering from a severe sunburn?

A)Do not go out into the sun again; you are more susceptible to burn again."
B)Apply a sunscreen with a high SPF (skin-protection factor)when in the sun."
C)Use a water-soluble sunscreen the next time you go out into the sun."
D)Apply lotion or oil to your skin the next time you go out into the sun."

Question 11

The mother of a client with head lice has completed the applications of a pediculicide.What is the best instruction by the nurse at this time?

A)Check the heads of your child's friends before allowing them to play together."
B)Remove all nits from the hair shaft with a nit comb or a fine-tooth comb."
C)You are fine now; just watch your child for a reinfection."
D)Keep your child's hair short so it will be easier to treat next time."

Question 12

A client has scabies and will be using permethrin 5% cream (Elimite).What is the best instruction by the nurse?

A)Leave the medication on the body for 24 hours."
B)Apply the medication twice,so it can be more effective."
C)Apply the medication topically to the affected area."
D)Leave the medication on the body for 8-14 hours."

Question 13

A client with female-pattern hair loss is prescribed topical minoxidil (Rogaine).What will the nurse instruct the client about this medication?
Select all that apply.

A)Apply this medication to the hair two to three times a day for a year."
B)If you stop using this medication,the hair growth will stop."
C)Keep the solution out of the reach of children."
D)Take this medication orally once per day."
E)Have your blood pressure checked every month while using this medication."

Question 14

The client asks the nurse how skin cells are replaced.The nurse explains that when older cells have been damaged or lost,new cells are supplied by the:

A)stratum basale.
B)stratum spinosum.
C)dermis.
D)stratum lucidum.

Question 15

Prior to teaching a client about the care of psoriasis,the nurse assesses the client's knowledge of the disorder.Which statement indicates that the client has a knowledge base about this illness?

A)Treatment can help lessen the discomfort of my psoriasis."
B)I wish there were some way other than lotions to treat my psoriasis."
C)No medications are effective for treating my disorder."
D)Oral medications are the only medications that are effective."

Question 16

A client received a minor sunburn while on vacation.What is the nurse's best advice to this client?

A)Call your health care provider for a prescription for pain medication."
B)Apply a local anesthetic to the sunburned area."
C)Apply emollients to keep the skin moist until it heals."
D)Take acetaminophen (Tylenol)or ibuprofen (Advil)for pain."

Question 17

A client has a minor infection of the skin around the fingernails.What can the nurse suggest the client use for this infection?
Select all that apply.

A)Bacitracin ointment
B)Neomycin with polymyxin B (Neosporin)ointment
C)Undecylenic acid (Cruex)
D)Clotrimazole (Mycelex)
E)Acyclovir (Zovirax)

Question 18

A client receives topical glucocorticoids for the treatment of dermatitis.The nurse has completed medication education and evaluates that learning has occurred when the client makes which statement?

A)This lotion is a lot safer and more effective than a pill."
B)Long-term use of this lotion can lead to dependence."
C)If this medication doesn't help me,there is nothing left to try."
D)A pill would be more effective than this messy lotion."

Question 19

A client is seeking treatment for an infectious skin disorder.The nurse recognizes that skin disorders categorized as infectious include:
Select all that apply.

A)boils.
B)cold sores.
C)warts.
D)ringworm.
E)psoriasis.

Question 20

What will the nurse instruct a client who is prescribed azelaic acid (Azelex)for rosacea?
Select all that apply.

A)It is made from wheat,rye,and barley.
B)Local burning can occur with this medication.
C)The skin may itch with this medication.
D)The skin may peel with this medication.
E)This medication is safe for everyone.

Question 21

What should the nurse instruct a client about acitretin (Soriatane)for psoriasis?
Select all that apply.

A)You will need to be on this medication for 2 to 3 months."
B)The psoriasis may return after discontinuing this medication."
C)At least two negative pregnancy tests are needed before starting this medication."
D)You will need to use birth control for 3 years after discontinuing this drug."
E)Reduce alcohol intake while taking this medication."

Question 22

A client with psoriasis is prescribed topical corticosteroids.What will the nurse instruct the client on the use of this medication?
Select all that apply.

A)Apply a moist dressing over the medication on the skin."
B)Wrap the medication and moist dressing with an occlusive covering."
C)Remove occlusive coverings and wraps every 8 hours."
D)Ongoing use of this medication will improve healing."
E)If this medication does not work,you'll need to take oral medications."