Deck 76: Pharmacotherapy of Dermatologic Disorders

Question 1

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? Select all that apply.
1)The outermost layer of the epidermis serves as the major waterproof barrier to the environment.
2)Keratin is found in those areas subject to mechanical stress-e.g., the palms of the hands.
3)Most receptor nerve endings, oil glands, sweat glands, and blood vessels are found within the subcutaneous fat.
4)The amount of subcutaneous tissue varies, and is determined by nutritional status and heredity.
5)The epidermis provides a foundation for the accessory structures, such as hair and nails.

Answer 1

1, 2, 4

Question 2

The teenager 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 makes which statement?
1)"At least I do not need to worry about her self-concept now."
2)"I will pay particular attention to her mood now."
3)"We will need to check her blood sugars every so often."
4)"She needs to be on a reliable method of birth control now."

Answer 2

1

Question 3

The mother of a young child calls the clinic and tells the nurse that she has just discovered head lice in her child's hair.What is the best instruction by the nurse?
1)"Purchase a lotion and apply it to her head three times a day for two weeks."
2)"Purchase a lotion and apply it to her scalp, let it dry, and brush it out in the morning."
3)"Purchase a lotion and apply it to her head and body, and leave it on for 24 hours."
4)"Purchase a lotion and apply it to her scalp, and leave it on for 12 hours."

Answer 3

4

Question 4

The mother of a client with head lice has completed the applications of lindane (Kwell).What is the best instruction by the nurse at this time?
1)"Remove all nits from the hair shaft with a nit comb or a fine-tooth comb."
2)"You are fine now; just watch your child for a re-infection."
3)"Keep your child's hair short so it will be easier to treat next time."
4)"Check the heads of your child's friends before allowing them to play together."

Question 5

The nurse is preparing to apply a topical cream to the client with psoriasis.What will the nurse do prior to applying this lotion?
1)Put on gloves before the application.
2)Use a mask to avoid inhaling the fumes.
3)Obtain a tongue blade for the application.
4)Give the cream to the client to apply.

Question 6

The client has psoriasis.Prior to beginning education, the nurse assesses the client.Which statement indicates the client has a knowledge base about his illness?
1)"I wish there were some other way to treat my psoriasis."
2)"Treatment can help lessen the discomfort of my psoriasis."
3)"Systemic medications are the only medications that are effective."
4)"No medications are effective for treating my disorder."

Question 7

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

Question 8

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 statement(s)? Select all that apply.
1)"I do not need to shower prior to using this medication."
2)"I will apply the medication only to the affected area."
3)"I will call my doctor if I notice a change in my symptoms."
4)"My medication only needs to be applied once a day."
5)"My daughter has a similar problem, so she can use this too."

Question 9

The client asks the nurse how skin cells are replaced.What is the best response by the nurse?
1)"The epidermis supplies new cells after older cells have been damaged or lost."
2)"The dermis supplies new cells after older cells have been damaged or lost."
3)"The stratum corneum supplies new cells after older cells have been damaged or lost."
4)"The stratum germinativum supplies new cells after older cells have been damaged or lost."

Question 10

The client has scabies, and will be using lindane (Kwell).What is the best instruction by the nurse?
1)"Leave the medication on the body for 24 hours."
2)"Apply the medication topically to the affected area."
3)"Leave the medication on the body for 8-12 hours."
4)"Apply the medication twice, so it can be more effective."

Question 11

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?
1)"I will need help in showering to remove the lotion."
2)"I need to sign a consent for this medication."
3)"I must avoid putting this lotion on my face."
4)"I should cover the area with a clean cloth."

Question 12

The physician orders lindane (Kwell)for nursing home clients who have contracted head lice.The nurse will contact the physician when one of the clients has which medical diagnosis?
1)Seizures
2)Stroke
3)Hypothyroidism
4)Diabetes mellitus

Question 13

The client is recovering from a severe sunburn.What will the best teaching by the nurse include?
1)"Use a water-soluble sunscreen the next time that you go out into the sun."
2)"Apply a sunscreen with a high SPF (skin-protection factor)when in the sun."
3)"Apply lotion or oil to your skin the next time you go out into the sun."
4)"Do not go out into the sun again; you are more susceptible to burn again."

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?
1)"Wash the bed linen and clothing that have come into contact with the children."
2)"Isolate the affected children from other family members for three days."
3)"Just continue to apply the medication to their scalps as directed."
4)"Do not let your children return to the school until it is fumigated."

Question 15

The nurse's neighbor has a severe sunburn, and cannot sleep.What is the best advice by the nurse?
1)"Call your physician for a prescription for pain medication."
2)"Apply a local anesthetic to the area that is sunburned."
3)"Take acetaminophen (Tylenol)or ibuprofen (Advil)for pain."
4)"Apply emollients to keep the skin moist until it heals."