Question 1

A client prescribed ultraviolet (UV) light therapy for a skin condition states to the nurse, "This treatment is so expensive, I think I will go to the tanning salon instead." Which information should the nurse provide the client?

Accepted Answer

The nurse should inform the client that the UV light therapy they require should be closely monitored to ensure safety and effectiveness. Tanning beds emit a different type of UV light than what is used in therapy, so going to a tanning salon will not provide the same benefits as prescribed therapy. While insurance may cover the cost of UV light therapy, this information is not enough to address the client's concerns about expense. Option C is partially correct, as some tanning beds do emit UVB light which can help with certain skin conditions, but this still does not fully replace the therapy prescribed by the client's healthcare provider.

Question 2

Which instructions should the nurse include in the education for a client who has lice infestation of the eyelids?

Accepted Answer

Applying petroleum jelly to the eyelashes can effectively suffocate the lice and their eggs. It is important to do this once a day for a week to ensure that all the lice and eggs are eliminated. Diluting the permethrin lotion may reduce its effectiveness, and manually pulling off the lice can be painful and damage the eyelids. It is also important to note that the systemic effect of the lotion on the hair may not necessarily affect the lice on the eyelids.

Question 3

Which types of dermatitis commonly respond to topical pharmacotherapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

Contact, atopic, and seborrheic dermatitis commonly respond to topical pharmacotherapy, such as corticosteroids and emollients. Acne and psoriasis often require more specific treatments beyond general topical pharmacotherapy.

Question 4

A client has been advised to use an over-the-counter acne product that contains benzoyl peroxide and salicylic acid. Which information should the nurse include in the teaching?

Accepted Answer

Testing the product on a small area of skin before widespread application is a standard precaution to check for adverse reactions or sensitivities to the ingredients, such as benzoyl peroxide and salicylic acid.

Question 5

Which area of a client's body should the nurse prepare to assess who is diagnosed with tinea unguium?

Accepted Answer

Tinea unguium, also known as fingernail or toenail fungus, affects the nails. Therefore, the nurse should prepare to assess the client's nails.

Question 6

Which instructions should the nurse provide to the parents of children in an elementary school which is experiencing an outbreak of lice and body mites? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of Which instructions should the nurse provide to...

Question 7

Which information should the nurse provide a client that has been prescribed tretinoin (Avita) for treatment of acne? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The nurse should inform the client that it may take several weeks before improvement is seen and that they may experience redness and scaling of the skin while using the medication. It is not necessary or recommended to continue using over-the-counter oil drying medication, seek sun exposure, or continue taking an antibiotic medication (tetracycline) unless prescribed by a healthcare provider.

Question 8

Which statement made by a client prescribed 0.1% tacrolimus (Protopic) for treatment of severe atopic dermatitis indicates an understanding of the information?

Accepted Answer

Tacrolimus (Protopic) is an immunosuppressant used topically for atopic dermatitis, and it carries a warning about a potential increased risk of skin cancer and lymphoma, especially with long-term use. This understanding reflects awareness of the medication's risks.

Question 9

Which nonpharmacological interventions should the nurse recommend for a client prescribed topical metronidazole (MetroGel) for rosacea? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of Which nonpharmacological interventions should the nurse recommend...

Question 10

Which history should the nurse anticipate for a young child who is diagnosed with atopic dermatitis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

Atopic dermatitis is a type of eczema that often occurs in individuals with a personal or family history of asthma, allergic rhinitis, or atopic dermatitis. Allergy to soaps and lotions can also be a contributing factor to the development of the condition. Family history of cardiac disease, prematurity, and illicit drug use in the mother during pregnancy are not necessarily associated with atopic dermatitis.

Quiz 49: Drugs for Skin Disorders