Deck 12: Skin Medications

Question 1

Preferred treatment is by permethrin 5% (or lindane lotion)

A)Loosen epithelial scales
B)Protect or soothe minor dermatological conditions
C)Kill bacteria
D)Promote removal of necrotic tissue

Answer 1

Loosen epithelial scales

Question 2

Keratolytic:

A)Loosen epithelial scales
B)Protect or soothe minor dermatological conditions
C)Kill bacteria
D)Promote removal of necrotic tissue

Answer 2

Loosen epithelial scales

Question 3

Clearasil

A)Loosen epithelial scales
B)Protect or soothe minor dermatological conditions
C)Kill bacteria
D)Promote removal of necrotic tissue

Answer 3

Protect or soothe minor dermatological conditions

Question 4

Protectants

A)Loosen epithelial scales
B)Protect or soothe minor dermatological conditions
C)Kill bacteria
D)Promote removal of necrotic tissue

Question 5

Corticosteroids

A)Substance used to treat dermatological disorders associated with allergic reactions
B)Treat viral conditions
C)Control conditions caused by fungi
D)Substances that inhibit the growth of bacteria
E)Relieve itching

Question 6

Preferred treatment is by pyrethrins (RID)

A)Loosen epithelial scales
B)Protect or soothe minor dermatological conditions
C)Kill bacteria
D)Promote removal of necrotic tissue

Question 7

Desitin

A)Loosen epithelial scales
B)Protect or soothe minor dermatological conditions
C)Kill bacteria
D)Promote removal of necrotic tissue

Question 8

Povidone-iodine

A)Loosen epithelial scales
B)Protect or soothe minor dermatological conditions
C)Kill bacteria
D)Promote removal of necrotic tissue

Question 9

Caused by infestation of lice on the hairs of the scalp, pubic area, and trunk

A)Loosen epithelial scales
B)Protect or soothe minor dermatological conditions
C)Kill bacteria
D)Promote removal of necrotic tissue

Question 10

Antipruritics

A)Substance used to treat dermatological disorders associated with allergic reactions
B)Treat viral conditions
C)Control conditions caused by fungi
D)Substances that inhibit the growth of bacteria
E)Relieve itching

Question 11

Application of topical antipruritics includes _________.

A) cleansing the area thoroughly before application, and rubbing the medication in gently until it vanishes
B) rinsing the mouth with water prior to treatment, and observing NPO status for one hour after treatment
C) not using on wounds involving more than the superficial layers of skin, and rinsing thoroughly after use
D) measuring vital signs before and after application

Question 12

Caladryl

A)Loosen epithelial scales
B)Protect or soothe minor dermatological conditions
C)Kill bacteria
D)Promote removal of necrotic tissue

Question 13

Antiseptics

A)Substance used to treat dermatological disorders associated with allergic reactions
B)Treat viral conditions
C)Control conditions caused by fungi
D)Substances that inhibit the growth of bacteria
E)Relieve itching

Question 14

Bactericidal

A)Loosen epithelial scales
B)Protect or soothe minor dermatological conditions
C)Kill bacteria
D)Promote removal of necrotic tissue

Question 15

Enzymatic

A)Loosen epithelial scales
B)Protect or soothe minor dermatological conditions
C)Kill bacteria
D)Promote removal of necrotic tissue

Question 16

Caused by an itch mite that burrows under the skin

A)Loosen epithelial scales
B)Protect or soothe minor dermatological conditions
C)Kill bacteria
D)Promote removal of necrotic tissue

Question 17

Antivirals

A)Substance used to treat dermatological disorders associated with allergic reactions
B)Treat viral conditions
C)Control conditions caused by fungi
D)Substances that inhibit the growth of bacteria
E)Relieve itching

Question 18

Emollients

A)Loosen epithelial scales
B)Protect or soothe minor dermatological conditions
C)Kill bacteria
D)Promote removal of necrotic tissue

Question 19

Chlorhexidine

A)Loosen epithelial scales
B)Protect or soothe minor dermatological conditions
C)Kill bacteria
D)Promote removal of necrotic tissue

Question 20

Antifungals

A)Substance used to treat dermatological disorders associated with allergic reactions
B)Treat viral conditions
C)Control conditions caused by fungi
D)Substances that inhibit the growth of bacteria
E)Relieve itching

Question 21

Collagenase preparations should be used___________.

A) in place of antibiotics in an open wound
B) to augment the efficacy of heavy metal agents in wound care
C) only in burns
D) for debridement of dead tissue

Question 22

Preparations that are used on the skin to inhibit the growth of bacteria are called ________.

A) bactericidal
B) antiseptics
C) antibiotics
D) All of the above.

Question 23

Contraindications and precautions for the use of isotretinoins include which of the following?

A) Type 4 acne
B) Children under 6 years
C) Use of birth control pills
D) Absolute contraindication in pregnancy

Question 24

Precautions related to the use of chlorhexidine solution DO NOT include which of the following?

A) Rinse thoroughly after application.
B) Avoid use in mucous membranes and genital areas.
C) Do not use for total body bathing.
D) May be used as an alternative cleanser in patients allergic to povidone-iodine.

Question 25

Which statement by your patient indicates a need for further education?

A) "I will put this medication on my skin, never by mouth."
B) "I will keep this out of the reach of my children."
C) "If I have any side effects, I am to keep taking the medication for 2 more days, to see if it gets worse before I call the clinic."
D) "I will take this medicine only as long as the doctor instructed me to take it."

Question 26

Application of topical burn medications includes _________.

A) cleansing the area thoroughly before application, and rubbing the medication in gently until it vanishes
B) rinsing the mouth with water prior to treatment, and observing NPO status for one hour after treatment
C) not using on wounds involving more than the superficial layers of skin, and rinsing thoroughly after use
D) using aseptic technique and keeping the area covered at all times

Question 27

Common side effects of antipruritics include ________.

A) sedation
B) agitation
C) hypersensitivity reactions
D) All of the above.

Question 28

Overuse or extended use of antibacterial agents can lead to ____.

A) addiction
B) dependence
C) paradoxical reactions
D) resistance

Question 29

Application of antiseptic medications includes ______.

A) cleansing the area thoroughly before application, and rubbing the medication in gently until it vanishes
B) rinsing the mouth with water prior to treatment, and observing NPO status for one hour after treatment
C) not using on wounds involving more than the superficial layers of skin, and rinsing thoroughly after use
D) avoid using on the elderly and small children

Question 30

Contraindications for the topical application of corticosteroids include _______.

A) skin infections, bacterial or fungal, and cutaneous or systemic viral infections
B) history of allergy, especially to sulfa drugs
C) osteoporosis or other bone disorders
D) depression, emotional lability, psychosis, aggression, and violent behavior

Question 31

Factors that influence the rate of absorption of medication include _______.

A) national origin of client, heat, moisture of the skin, and age of client
B) sex of client, condition of the skin, location on the skin, and age of client
C) condition of the skin, location on the skin, heat, and moisture of the skin
D) sex of client, national origin of client, and condition of the skin

Question 32

Which statement is true regarding the use of antiviral agents?

A) They are used to prevent infections.
B) They are most effective when started after signs and symptoms have been present for at least 72 hours.
C) They are an effective treatment for recurrent infections.
D) They should be initiated within 48 hours of onset of symptoms.

Question 33

Which is true of mupirocin ointment?

A) It is used to treat Staphylococcus aureus and Streptococci.
B) It is used to reduce outbreaks of institutional MRSA.
C) It may be given intranasally.
D) All of the above.

Question 34

You are preparing for a long overdue tropical vacation and want to purchase a sunscreen that will reduce your risk of early and progressed skin cancer.What should you look for on the label?

A) UVB protection and an SPF of 15 or more
B) Broad-spectrum coverage and an SPF of 15 or more
C) UVA protection and an SPF of 30 or more
D) Broad-spectrum coverage and an SPF of 30 or more

Question 35

Contraindications for corticosteroid topical therapy include _______.

A) pregnancy, lactation, children, and immunosuppressed patients
B) allergy to iodine
C) impaired kidney or liver function
D) hypersensitivity to benzoic acid or paraben

Question 36

Camryn has had dozens of mosquito bites this summer.She is trying an antihistamine cream in large quantities this week and finds that she rarely itches at all.Should she be concerned about this use?

A) Yes, prolonged use of topical antihistamines can cause tolerance and even dependence.
B) Probably not, as long as there is also an antibiotic and a corticosteroid in the cream.
C) Yes, prolonged use of topical antihistamines can cause hypersensitivity reactions.
D) No, over-the-counter topical antihistamines do not have any known adverse effects.

Question 37

Side effects from topical application of corticosteroids include ________.

A) ulceration
B) photosensitivity
C) pruritus
D) impaired renal function

Question 38

Side effects associated with keratolytics include _______.

A) photosensitivity
B) dandruff
C) hypoglycemia
D) Cushing's syndrome

Question 39

A common side effect of corticosteroids is ________.

A) hypersensitivity
B) lactation
C) skin tears and/or bruising
D) hypoglycemia

Question 40

Special consideration for use of topical application of burn medications include _______.

A) using a gloved hand for application
B) history of photosensitivity
C) caution with patients allergic to Penicillin
D) persons with psychiatric illnesses

Question 41

After many unsuccessful attempts to treat his acne with topical medications including antibiotics, Flynn's doctor has prescribed isotretinoin for him.What action is the isotretinoin likely to have?

A) It will act as an antiviral.
B) It will decrease oil production.
C) It will increase oil production.
D) It will increase appetite.

Question 42

Yasmine suffers a second-degree burn on her arm in a kitchen accident.The doctor at the emergency room gives her a prescription for silver sulfadiazine cream.What is the action of this cream?

A) Infection prevention and treatment
B) Decreasing itchiness
C) Reducing scar formation
D) Pain control

Question 43

Asher reads the label on the cream he is using to treat his itchy rash and notices that it contains benzocaine.What is the action of benzocaine?

A) It suppresses inflammation.
B) It kills viruses and bacteria.
C) It dries the skin.
D) It is a local anesthetic.

Question 44

At the end of her first week in kindergarten, Jenny arrives home with a note that she has head lice, along with several others at the school.What type of agent should Jenny's parents use?

A) An antipruritic
B) A pediculicide
C) An enzymatic
D) A scabicide