Question 1

What will the nurse instruct a client who is prescribed azelaic acid (Azelex)for rosacea? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

A,B,C,D

Question 2

A client with psoriasis will be receiving infliximab (Remicade).What will the nurse instruct the client about this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

A,B,C,D

Question 3

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

Accepted Answer

Applying a sunscreen with a high SPF when in the sun will prevent future sunburn and protect the skin from further damage. Option A is incorrect because avoiding the sun entirely is not necessary and may lead to vitamin D deficiency. Option C is incorrect because water-soluble sunscreens can easily wear off with perspiration or water exposure. Option D is incorrect because lotion or oil can actually trap heat and worsen the burn.

Question 4

A client has a minor infection of the skin around the fingernails.What can the nurse suggest the client use for this infection? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

Bacitracin and Neosporin are both topical antibiotics commonly used to treat minor skin infections around the fingernails. Undecylenic acid and Clotrimazole are antifungal medications, and Acyclovir is an antiviral medication - none of which would be effective for a bacterial skin infection.

Question 5

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

Accepted Answer

The nurse should put on gloves before applying topical creams to prevent contamination and to protect the nurse and client from spreading infectious agents. A tongue blade or mask is not necessary for the application of a topical cream, and giving the cream to the client to apply may not be appropriate if the site of application is difficult for the client to reach.

Question 6

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:

Accepted Answer

The stratum basale is the layer of cells that actively divide and produce new cells to replace older cells that have been damaged or lost.

Question 7

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? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The answer of The client receives a topical medication for...

Question 8

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

Accepted Answer

Permethrin (Nix) is contraindicated in individuals with an allergy to sulfites, as it may cause an allergic reaction.

Question 9

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?

Accepted Answer

Option A shows that the client has knowledge that treatment can help improve their psoriasis symptoms, indicating a basic understanding of the disorder. Options B, C, and D all show misconceptions or lack of knowledge about psoriasis and its treatments.

Question 10

A client with female-pattern hair loss is prescribed topical minoxidil (Rogaine).What will the nurse instruct the client about this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

The nurse should instruct the client to apply the medication to the hair two to three times a day for a year, as prescribed. The client should be informed that if they stop using the medication, the hair growth will stop. The nurse should also advise the client to keep the solution out of the reach of children due to potential toxicity. The medication is topical, and should not be taken orally. While minoxidil may cause systemic effects, such as changes in blood pressure, the nurse does not need to instruct the client to have their blood pressure checked every month unless there is a concern or specific instruction from the healthcare provider.

Question 11

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:

Accepted Answer

Isotretinoin is associated with causing birth defects and miscarriages, so it is important for females of childbearing age to use at least two forms of birth control and have monthly pregnancy tests. Checking for menstruation can help determine if there are any potential issues with pregnancy while on the medication. However, monitoring mood changes, aches and pains, and cholesterol levels are also important aspects of monitoring for potential side effects of isotretinoin.

Question 12

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?

Accepted Answer

Washing bed linens and clothing that have come into contact with the children is an important step in preventing the spread of head lice. Isolating the children from family members is not necessary, and continuing to apply medication alone may not be sufficient. Fumigating the school is also not necessary or practical.

Question 13

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?

Accepted Answer

The statement "This lotion is a lot safer and more effective than a pill" demonstrates an understanding of the benefits and use of topical glucocorticoids for treatment of dermatitis. The other statements demonstrate a lack of understanding or misinformation about the medication.

Question 14

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

Accepted Answer

Topical scabicide medications should not be applied around the eyes as it can cause irritation or other adverse effects. The client's statement that they must avoid putting the lotion around the eyes shows understanding of this safety precaution.

Question 15

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?

Accepted Answer

Removing all nits from the hair shaft with a nit comb or a fine-tooth comb is an essential step in treating head lice as it prevents them from laying eggs and promoting re-infestation.

Question 16

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

Accepted Answer

The answer of A client received a minor sunburn while...

Question 17

A client is seeking treatment for an infectious skin disorder.The nurse recognizes that skin disorders categorized as infectious include: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

Boils, cold sores, warts, and ringworm are considered infectious skin disorders caused by bacteria, viruses, or fungi. Psoriasis, on the other hand, is a chronic autoimmune disorder that is not infectious.

Question 18

What should the nurse include when teaching a group of adolescents about the structure and function of the skin? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

Accepted Answer

A) The amount of subcutaneous tissue indeed varies based on factors like nutritional status and heredity, affecting the skin's insulation and protection capabilities.C) Keratin, a tough protein, is indeed found in areas subject to mechanical stress, such as the palms and soles, providing protection and durability.E) The outermost layer of the epidermis, known as the stratum corneum, contains dead skin cells and substances that help to waterproof the skin, serving as a barrier to the environment.

Question 19

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

Accepted Answer

The most effective treatment for head lice involves applying a medicated lotion or shampoo to the scalp (and sometimes hair) for a short period, usually around 10 minutes, before rinsing it out. This method targets the lice without excessive exposure to the medication.

Question 20

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

Accepted Answer

Leaving the medication on the body for 8-14 hours is the recommended time frame for permethrin 5% cream (Elimite) to effectively kill scabies mites. It should be applied topically to the affected area once daily. Applying the medication twice is not necessary and may increase the risk of skin irritation.

Quiz 73: Pharmacotherapy of Dermatologic Disorders

What will the nurse instruct a client who is prescribed azelaic acid (Azelex) for rosacea? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A client with psoriasis will be receiving infliximab (Remicade) .What will the nurse instruct the client about this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.