Deck 57: Dermatological Drugs

Question 1

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

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.

Answer 1

The drug may cause increased redness of the skin.

Question 2

Isotretinoin (Accutane)is classified as which pregnancy category?

A)Category A
B)Category B
C)Category C
D)Category X

Answer 2

Category X

Question 3

A woman suffered a second-degree burn of the skin on her arm and hand while cooking breakfast.After examination in the emergency department,silver sulfadiazine (Demazin)is recommended for her burns.What important information should the nurse tell the patient regarding 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 should be applied over the burned area, and the area should be left open.
D)A thin layer should be applied with a sterile gloved hand to clean,debrided areas.

Answer 3

A thin layer should be applied with a sterile gloved hand to clean,debrided areas.

Question 4

A 55-year-old obese patient was diagnosed with candidiasis in the skin folds under her breasts.At a follow-up visit 2 months later,she complains 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.Which of the following statements is the nurse's best response regarding the patient's fungal infections of the skin?

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

Question 5

Which of the following is likely to be prescribed for a child with impetigo?

A)lindane (Hexit)
B)nystatin (Flagistatin)
C)acyclovir (Zovirax)
D)bacitracin (Bacitin)

Question 6

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

A)Gels
B)Lotions
C)Creams
D)Ointments

Question 7

Which of the nursing implications are correct regarding topical dermatological drugs for acne? Select all that apply.

A)Apply lotion liberally to affected sites.
B)Apply sparingly to affected areas.
C)Cover affected areas with occlusive dressings.
D)Avoid weather extremes and ultraviolet (UV)radiation.
E)Exposure to sunlight helps the skin by drying the affected areas.
F)Avoid abrasive cleansers.
G)Discontinue treatment when skin condition improves.

Question 8

A patient is receiving treatment with minoxidil (Rogaine)for hair thinning.What important information should the nurse tell the patient regarding 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 9

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

A)None of its layers has a direct blood supply.
B)It forms the protective layer for the entire body.
C)Outer dead cells contain a water-repellent protein known as keratin.
D)It provides extra support with blood vessels,nerves,elastic tissue,and connective tissue.

Question 10

A father calls the clinic because his son has head lice.He reports to the nurse that he has used "that special,medicated shampoo three times now 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.