Deck 49: Drugs for Skin Disorders

Question 1

The client has scabies. The nurse has taught the client about safety in using topical scabicide medications and evaluates that teaching has been effective when the client makes which statement?

A) "I should cover the area with a clean cloth."
B) "I will need help in showering to remove the lotion."
C) "I need to sign a consent for this medication."
D) "I must avoid putting this lotion on my face."

Answer 1

"I must avoid putting this lotion on my face."

Question 2

A client has psoriasis. Prior to beginning education, the nurse assesses the client. Which statement indicates the client has a correct knowledge base about his illness?

A) "I wish there were some way besides medications to treat my psoriasis."
B) "Treatment can help lessen the discomfort of my psoriasis."
C) "Systemic medications are the only medications that are effective."
D) "No medications are effective for treating my disorder."

Answer 2

"Treatment can help lessen the discomfort of my psoriasis."

Question 3

The nurse will know that a client with head lice understands principles of pediculicides when she can discuss

A) contraceptive measures.
B) importance of following package directions exactly.
C) sun protection.
D) antifungal creams.

Answer 3

importance of following package directions exactly.

Question 4

Dermatitis is characterized by

A) flaky, silver scales.
B) swelling of nasal tissues.
C) small papules.
D) pruritus.

Question 5

The client is recovering from a severe sunburn. What will the best teaching by the nurse include?

A) "Apply lotion or oil to your skin the next time you go out into the sun."
B) "Apply a sunscreen when you are going to be in the sun."
C) "Do not go out into the sun again; you are more susceptible to burn again."
D) "Use a water-soluble sunscreen the next time that you go out into the sun."

Question 6

Skin cells in the epidermis are replaced and supplied by the

A) stratum lucidum.
B) dermis basale.
C) melanocytes.
D) stratum basale.

Question 7

A teenager is taking isotretinoin (Accutane) for treatment of severe acne. The nurse has completed medication education with her mother and evaluates additional learning is required when the mother makes which statement?

A) "We can expect that her skin will be less oily."
B) "She needs to be on a reliable method of birth control now."
C) "At least I do not need to worry about her self-concept now."
D) "I will pay particular attention to her mood now."

Question 8

The nursing instructor teaches the student nurses about the structure and function of the skin. What will the best teaching plan of the instructor include?

A) The outermost layer of the epidermis serves as the major waterproof barrier to the environment.
B) The epidermis provides a foundation for the accessory structures such as hair and nails.
C) The amount of subcutaneous tissue varies and is determined by nutritional status and heredity.
D) Most receptor nerve endings, oil glands, sweat glands, and blood vessels are found within the subcutaneous fat.
E) The deepest epidermal layer provides new cells.

Question 9

The physician orders lindane (Kwell) for nursing home clients who have contracted head lice. The nurse will collaborate with the physician when one of the clients has which medical diagnosis?

A) Diabetes mellitus
B) Seizures
C) Stroke
D) Hypothyroidism

Question 10

The client asks the nurse how skin cells are replaced. What is the best response by the nurse?

A) "The epidermis supplies new cells after older cells have been damaged or lost."
B) "The dermis supplies new cells after older cells have been damaged or lost."
C) "The stratum corneum supplies new cells after older cells have been damaged or lost."
D) "The stratum germinativum supplies new cells after older cells have been damaged or lost."

Question 11

The mother of a client with head lice has completed the applications of topical medication. What is the best instruction by the nurse at this time?

A) "Keep your child's hair short so it will be easier to treat next time."
B) "You are fine now; just watch your child for a reinfection."
C) "Check the heads of your child's friends before allowing them to play together."
D) "Remove all nits from the hair shaft with a nit comb or a fine-tooth comb."

Question 12

The client receives a topical medication for treatment of an acne-like skin disorder. The nurse completes medication education and evaluates learning has occurred when the client makes which statements?

A) "My daughter has a similar problem so she can use this too."
B) "I will call my doctor if I notice a change in my symptoms."
C) "I will apply the medication only to the affected area."
D) "I do not need to shower prior to using this medication."
E) "My medication only needs to be applied once a day."

Question 13

The nurse's neighbor has a severe sunburn and cannot sleep. What is the best advice by the nurse?

A) "Apply emollients to keep the skin moist until it heals."
B) "Call your physician for a prescription for pain medication."
C) "Take acetaminophen (Tylenol) or ibuprofen (Advil) for pain."
D) "Apply a local anesthetic to the area that is sunburned."

Question 14

The client calls the clinic and is frantic that 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 will be the best teaching by the nurse?

A) "Wash the bed linens and clothing that have come into contact with the children."
B) "Just continue to apply the medication to their scalps as directed."
C) "Do not let your children return to the school until it is fumigated."
D) "Isolate the affected children from other family members for 3 days."

Question 15

A client's medical record reveals presence of an erythematous urticarial rash with pruritus. What assessment findings would the nurse expect?

A) The area of the rash is red.
B) The area has a raised, bumpy texture.
C) The area involved is warm to the touch.
D) The area itches.
E) The area is scaly.

Question 16

The primary function of the dermis is to

A) provide foundation for hair and nails.
B) insulate the body.
C) provide a source of energy.
D) form a protective barrier to foreign matter.

Question 17

The nurse is teaching a patient about how skin recovers after burns. The nurse would identify which area as the level in which transmission of the itch sensation occurs?

A) A
B) B
C) C
D) D

Question 18

The 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?

A) "A pill would be more effective than this messy lotion that I have to use."
B) "If this medication doesn't help me, there is nothing left to try."
C) "Use of this lotion is really a lot safer and more effective than a pill."
D) "Long-term use of this lotion can lead to dependence on the drug."

Question 19

A client has been prescribed permethrin (Nix) for the treatment of body mites. What medication information should the nurse provide?

A) "Make certain you get the 1% lotion."
B) "You should leave the lotion on your body for 10 minutes."
C) "You should expect almost immediate relief from the itching."
D) "You may feel some stinging or tingling while the lotion is being used."
E) "You should not use this medication if you are sensitive to chrysanthemums."

Question 20

The mother of a young child calls the clinic and tells the nurse that she has just discovered head lice in her daughter's hair. What is the best instruction by the nurse?

A) "Follow the package directions exactly on the permethrin lotion from the pharmacy."
B) "Take her to your beautician for treatment."
C) "Bring her to the clinic for evaluation."
D) "Be certain to eliminate all the lice with the first application of medication as treatment cannot be done again for a month."

Question 21

A patient diagnosed with rosacea has been prescribed topical metronidazole (MetroGel). The nurse would teach which other management strategies?

A) "Avoid drinking alcohol."
B) "Spend some time in the sun each day."
C) "Avoid eating spicy foods."
D) "Drink your coffee at room temperature."
E) "Keep the temperature in your home warmer."

Question 22

A patient has been prescribed ultraviolet (UV) light therapy for a skin condition. The patient says, "This treatment is so expensive, I think I will go to the tanning salon instead." The nurse would provide which information?

A) "Your insurance should pay for your treatments."
B) "The light therapy you require should be closely monitored."
C) "That will only work if your tanning salon has a particular type of bed."
D) "That would save you quite a bit of money."

Question 23

A young child has been diagnosed with atopic dermatitis. The nurse would review the patient's history for which findings?

A) Family history of asthma
B) Allergy to soaps and lotions
C) Family history of cardiac disease
D) Prematurity
E) Illicit drug use in the mother during pregnancy

Question 24

The nurse is teaching a health promotion session about sunburn prevention. Using this diagram, the nurse identifies which area as being the general depth of sunburn?

A) A
B) B
C) C
D) D

Question 25

A client has lice infestation of the eyelids. What instruction should the nurse provide?

A) "Dilute the permethrin lotion with water before applying it to your eyelids."
B) "These lice should be pulled off manually."
C) "Apply a thin coat of petroleum jelly to your eyelashes once a day for a week."
D) "The systemic effect of the lotion you are using on your hair will kill these lice, so no specific treatment is necessary."

Question 26

A client has been prescribed tretinoin (Avita) for treatment of acne. Which medication information should the nurse provide?

A) "It will take several weeks for you to see improvement in your skin."
B) "You should continue using your over-the-counter oil drying medication until you start to see effects from this medication."
C) "Mild sun exposure will help this medication work more effectively."
D) "You will likely notice redness and scaling of your skin while using this medication."
E) "Continue to take the tetracycline previously prescribed for your cystic acne."

Question 27

A client's medical record reveals the diagnosis of tinea unguium. The nurse would assess which body part for this disorder?

A) The foot
B) The pubic area
C) The head
D) The nails

Question 28

A patient has been advised to use an over-the-counter acne product that contains benzoyl peroxide and salicylic acid. The nurse prioritizes which information in patient teaching?

A) "Test this product on a small area of skin for 3 days before applying to your face."
B) "Many people find this medication makes their acne worse."
C) "Some serious allergic reactions have occurred when using this medication."
D) "Gently wash your face before applying this product."
E) "Do not take aspirin while using this product."

Question 29

A client has been prescribed 0.1% tacrolimus (Protopic) for treatment of severe atopic dermatitis. The nurse would evaluate that medication teaching is successful when the client makes which statement?

A) "I could use this for my 1-year-old who also has atopic dermatitis."
B) "I can use this ointment on an as needed basis for as long as I wish."
C) "I am at increased risk for skin cancer because I am using this drug."
D) "I cannot use this ointment on my face."

Question 30

Lice and body mites have been discovered in an elementary school population. Which instructions should the school nurse send home to parents?

A) "Obtain over-the-counter antiparasitic lotion and apply to your children according to label directions."
B) "Look for small bugs in your children's hair or small objects attached to the hair shaft."
C) "Look for bugs between fingers, under the arms, and in the pubic area."
D) "Open the windows and doors of your house and let fresh air blow through to eliminate lice and mites in the home."
E) "If lice or mites are found, stuffed animals should be washed or sealed in an airtight bag for 2 weeks."