Deck 50: Drugs for Dermatologic Disorders

Question 1

Upon assessment of the burned client, the nurse notes that the client is exhibiting mottled, blistered skin and is complaining of intense pain. These findings are congruent with which degree of burn injury?

A) First
B) Second
C) Third
D) Fourth

Answer 1

Second

Question 2

The client is being treated extensively with silver nitrate cream. The nurse plans to closely monitor the client's level of:

A) calcium.
B) sodium.
C) potassium.
D) magnesium.

Answer 2

potassium.

Question 3

The client is being treated with clobetasol propionate (Clobex). In scheduling the client's next appointment with the primary care provider, the nurse recognizes that the client's lesions need to be reassessed in _____ weeks.

A) 2
B) 4
C) 6
D) 8

Answer 3

2

Question 4

Photosensitivity is a major complication of tetracycline (Sumycin). In providing client teaching, the nurse should suggest that the client ________ while on the medication.

A) avoid direct sunlight
B) wear a hat and long sleeves in the sun
C) use a tanning bed only with supervision
D) use a suntan lotion with a high SPF

Question 5

The nurse plans to monitor a client with second-degree burns for which adverse reaction to mafenide acetate (Sulfamylon)?

A) Increased intraocular pressure
B) Urinary retention
C) Fluid retention
D) Superinfection

Question 6

Methoxsalen (Oxsoralen) is a drug used for the treatment of psoriasis. Clients using this agent should not be in direct sunlight for which reason?

A) Skin could become lightened or blanched.
B) Psoriasis would spread.
C) Exposed skin would burn or blister.
D) Skin would become sensitive to light.

Question 7

A client is diagnosed with acne. The client expresses concern to the nurse that he has not yet been placed on medication. The nurse explains to the client that the initial nonpharmacologic approach for treating acne vulgaris includes:

A) application of large doses of vitamin A.
B) application of large doses of vitamin C.
C) cleansing of the skin gently several times a day.
D) vigorously scrubbing skin in the morning and at bedtime.

Question 8

The client has been placed on tetracycline (Sumycin) for acne control. In planning a dosage schedule, the nurse anticipates that the client will be taking:

A) low doses over a period of months.
B) low doses for 3 to 4 weeks.
C) high doses for 10 days to 2 weeks.
D) high doses for at least 1 year.

Question 9

A client is ordered to receive isotretinoin. What is a priority diagnostic test for the nurse to complete before beginning therapy?

A) Blood glucose level
B) Pregnancy test
C) Serum electrolytes
D) Complete blood count

Question 10

The client is being treated with etretinate (Tegison, Soriatane). She has been using the medication for 6 weeks and is concerned because she has not seen an improvement in her symptoms. The most accurate response from the nurse is that it may be _____ months for the client to notice an improvement in her symptoms.

A) 2
B) 8
C) 4
D) 6

Question 11

Silver sulfadiazine (Silvadene) is used for the treatment of second- and third-degree burns. The highest priority nursing intervention related to this drug is to monitor for:

A) crystalluria.
B) dehydration.
C) headaches.
D) hypertension.

Question 12

A client enters the healthcare provider's office with complaints of verruca vulgaris (warts). What is the most accurate instructional point to include in a client teaching session?

A) Warts can become malignant after 1 to 2 years and thus must be monitored closely.
B) The only effective means of wart removal is by surgical excision.
C) Drug therapy to remove a common wart may include systemic side effects.
D) Electrodesiccation can be used to eradicate the common warts.

Question 13

Contact dermatitis may be caused by chemical or plant irritation. What nonpharmacologic measure may aid in alleviating the problem?

A) Determining causative agent
B) Cleansing the skin area immediately
C) Wearing protective gloves or clothing
D) Applying a sterile dressing over the involved area