Deck 65: Dermatologic Drugs

Question 1

The nurse instructs a family that is infested with pediculosis and scabies that treatment will include which of the following?

A) Have family members bathe in a modified Burrow's solution
B) Throw out all linens and clothing items immediately
C) Isolate the family for at least 1 week
D) Apply Kwell to the skin for 8 to 12 hours,then thoroughly wash it off

Answer 1

Apply Kwell to the skin for 8 to 12 hours,then thoroughly wash it off

Question 2

The nurse would evaluate that a client understands drug therapy with isotretinoin (Accutane)after making which of the following statements?

A) Abstinence or effective birth control is essential during therapy
B) The drug can lead to decreased heart rate and blood pressure
C) Resistance to infection is increased while taking this drug
D) The drug can lower blood glucose and lipid levels

Answer 2

Abstinence or effective birth control is essential during therapy

Question 3

In evaluating client response to drug therapy,the nurse considers that the therapeutic efficacy of corticosteroids may be reduced by which of the following?

A) The time of day that the application is completed
B) The vehicle in which the steroid is placed
C) The nutritional status of the client
D) The location on the client's body where the medication is applied

Answer 3

The vehicle in which the steroid is placed

Question 4

The nurse recommends that an elderly client with dry,itchy skin add which of the following to the bath water to increase skin hydration?

A) Bath oil
B) Oatmeal
C) Gelatin
D) Starch

Question 5

Which of the following does the nurse assess as an adverse effect associated with topical corticosteroids?

A) Hyperpigmentation
B) Pallor
C) Oiliness
D) Burning sensation

Question 6

The nurse who is evaluating the results of drug therapy is aware that which of the following types of drugs can result in an acneiform-type reaction?

A) Anticoagulants
B) Gold salts
C) Topical corticosteroids
D) Barbiturates

Question 7

A client with eczema has a lichenified,oozing skin lesion.The nurse would recommend the use of which of the following types of products for therapeutic effect?

A) Calamine lotion
B) Zinc compound paste
C) Talcum powder
D) Corn starch

Question 8

Silver sulfadiazine is recommended for the treatment of burns.Which of the following statements reflects the adequate application of this ointment?

A) If the cream is removed by activity,it does not need to be reapplied.
B) Apply it with a sterile-gloved hand to a thickness of approximately one-sixteenth of an inch.
C) A dressing must be used to protect the area from further contamination.
D) This type of therapy is generally indicated for only 24 hours.

Question 9

The clinic nurse is working with a client who has a weeping skin lesion associated with contact dermatitis.The nurse recommends that this client use which of the following types of products for therapeutic effect?

A) Calamine lotion
B) Zinc compound paste
C) Talcum powder
D) Corn starch

Question 10

The nurse at a health promotion fair explains to visitors that the FDA requirement for calling a product a "sunscreen" is that the product must

A) absorb 65% or more of the radiation in the ultraviolet range of 290 to 400 nm.
B) absorb 75% or more of the radiation in the ultraviolet range of 290 to 400 nm.
C) absorb 85% or more of the radiation in the ultraviolet range of 290 to 400 nm.
D) absorb 95% or more of the radiation in the ultraviolet range of 290 to 400 nm.

Question 11

A home health nurse notes that a client has tinea pedis (athlete's foot).The nurse explains that which of the following over-the-counter treatments is likely to be effective?

A) Mupirocin (Bactroban)
B) Bacitracin (Baciguent)
C) Terbinafine (Lamisil)
D) Docosanol (Abreva)

Question 12

Which of the following vehicles is most effective in enhancing the penetration of corticosteroid in the skin?

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

Question 13

The nurse explains to a client with psoriasis that which of the following drugs can be used in its treatment?

A) Fluorinated topical corticosteroids
B) Neomycin with glucocorticoids
C) Mineralocorticoids with vitamins A and E
D) Chlorinated oral corticosteroids

Question 14

The clinic nurse is working with a client seeking treatment for rosacea.The nurse examines which of the following areas to note the distribution of this skin disorder?

A) Face
B) Neck
C) Arms
D) Trunk

Question 15

An adolescent client has acne vulgaris that has not responded to standard treatment measures.The nurse anticipates that this client will be prescribed which of the following because of treatment failure with other drugs?

A) Tetracycline
B) Erythromycin
C) Clindamycin
D) Isotretinoin

Question 16

When a client with a partial thickness (second-degree)burn arrives at the emergency department,the first action of the nurse would be to

A) wrap the burn with a dry sterile gauze dressing.
B) administer an immunoglobulin G booster vaccine.
C) apply a zinc oxide ointment.
D) flush the area with cool water.

Question 17

The nurse would make which of the following recommendations to a client regarding the use of sunscreen?

A) Use a sunscreen with an SPF of at least 8 to 15 daily.Apply the sunscreen to exposed areas 5 to 15 minutes before sun exposure.
B) Reapply sunscreen to exposed areas 60 to 90 minutes after beginning exposure to the sun.
C) Reapply every 2 hours or after activity that could result in removal of sunscreen,such as excessive sweating,swimming,or towel drying.
D) Wearing sunscreen or limiting exposure is not necessary on overcast or cloudy days.

Question 18

The nurse warns a client that isotretinoin (Accutane)is contraindicated during pregnancy because of the possibility of which of the following?

A) Inducing a long labor
B) Birth defects
C) Renal failure
D) Sodium retention

Question 19

While cooking,a client incurred a partial-thickness,or second-degree,burn of the arm and hand.When the client asks how deep the burn is,the nurse would respond that it affects which of the following?

A) The epidermis only
B) The epidermis and dermis
C) The epidermis,dermis,and muscles
D) The epidermis,dermis,and subcutaneous fat

Question 20

The nurse would use which of the following statements about the use of topical steroids in a client teaching session about these products?

A) They are safely used during pregnancy
B) They need coverage with an occlusive dressing to decrease toxicity
C) They possess antiinflammatory and antipruritic effects
D) They produce adrenal stimulation and subsequent hypotension

Question 21

The nurse questions the client taking alefacept (Amevive)about improvement of symptoms of which of the following health problems?

A) Minor burn
B) Psoriasis
C) Eczema
D) Rheumatoid arthritis

Question 22

The nurse interprets that which of the following clients would be a good candidate for topical drug therapy with becaplermin (Regranex)?

A) A client with acne resistant to topical treatments
B) A client with diabetes mellitus who has a nonhealing leg ulcer
C) A client with a partial thickness burn to the arm
D) A client who came in contact with poison ivy

Question 23

The nurse notes a new drug order for adalimubab (Humira).The nurse conducts a baseline assessment of symptoms of which of the following health problems before administering the first dose?

A) Minor burn
B) Psoriasis
C) Eczema
D) Rheumatoid arthritis

Question 24

The nurse would include in a teaching plan for a client who will start drug therapy with isotretinoin (Accutane)that routine intake of which of the following vitamins should be avoided during drug therapy?

A) A
B) D
C) E
D) K

Question 25

The nurse assesses the older adult client being treated with lindane (Kwell)for which of the following adverse effects?

A) Blurred vision
B) Stomach pain
C) Irritability
D) Joint aches