Question 1

A patient who has extensive second- and third-degree burns will use mafenide acetate (Sulfamylon)to treat the burns.What is an important aspect of care for this patient?

Accepted Answer

Mafenide acetate can cause electrolyte imbalances.Fluid overload is not likely.This medication does not decrease pain.Patients should be taught to use clean technique.

Question 2

A patient who works outdoors has frequent contact dermatitis flares secondary to exposure to plant irritants.The patient asks the nurse how to minimize these episodes.The nurse will counsel this patient to perform which action?

Accepted Answer

Cleansing is one of the chief methods to decrease the irritation that has been caused by contact dermatitis.

Question 3

The nurse is teaching a female patient who will begin taking isotretinoin (Amnesteem)to treat severe cystic acne.Which statement by the patient indicates understanding of the teaching?

Accepted Answer

Serious muscle damage may occur while taking this medication,so patients should avoid strenuous activity which can compound this effect.Patients must get monthly refills and must take a pregnancy test before each refill.Patients should use two reliable forms of birth control,but abstinence is not required.Vitamin A can compound the adverse effects of this medication.

Question 4

The nurse is teaching a group of adolescents about sun protection.What information will the nurse include when teaching this group?

Accepted Answer

Sunscreen will protect about 2 hours if not exposed to moisture,such as swimming or sweating.Sunscreens do not guard against melanoma or basal cell carcinoma.UVA protection is not in all products.SPF ratings are not proportional.

Question 5

The nurse is providing teaching for an adolescent who has acne vulgaris.In addition to teaching about correct administration of the prescribed medications,the nurse will instruct this patient to

Accepted Answer

Gentle cleansing is one of the chief nonpharmacologic treatments of acne.Vigorous scrubbing should be avoided.Topical vitamin D is sometimes used to treat psoriasis.

Question 6

A patient who has psoriasis will begin taking etanercept (Enbrel).The nurse will ensure that which laboratory test is performed prior to initiating treatment with this drug?

Accepted Answer

Enbrel can worsen infections,and patients taking this drug must have a tuberculin skin test prior to initiation of treatment.CBC,CD4,and T-cell counts are monitored during therapy with alefacept.A serum pregnancy test is not indicated.

Question 7

A patient has second- and third-degree burns,and the nurse is applying silver sulfadiazine (Silvadene)to the burns with each dressing change.The patient reports a burning sensation.The nurse understands that this is

Accepted Answer

A common adverse reaction to silver sulfadiazine is a burning sensation.It does not indicate a hypersensitivity reaction,localized tissue infection,or skin necrosis.

Question 8

An adolescent patient is preparing to take a summer job as a landscaper and asks the nurse about insect repellents and sunscreens.Which statement by the nurse is correct?

Accepted Answer

Sunscreen should be reapplied if exposed to moisture as through sweating.Sunscreen should be applied after using repellents containing DEET.Sunscreens with PABA should be applied at least 2 hours prior to exposure.Not all sunscreens block UVA radiation.

Question 9

A patient who has psoriasis is taking methoxsalen (Oxsoralen)to treat the condition along with receiving therapeutic ultraviolet A.The nurse notes burning and blistering of the patient's skin.Which action will the nurse take?

Accepted Answer

Patients taking methoxsalen can develop burning and blistering with exposure to sunlight.These signs do not indicate efficacy of the treatment and do not mean the psoriasis is worsening.There is no indication for taking the drug after the UVA exposure.

Question 10

The nurse assists the provider to treat a patient who has warts with cantharidin (Cantharone).After the cantharidin is applied to the warts,the nurse will

Accepted Answer

To prevent damage to the surrounding skin,the wart should be covered with nonporous tape after the application of cantharidin is allowed to dry.This procedure can be repeated in 1 to 2 weeks.Gauze dressings are porous and would allow the solution to come in contact with intact skin.Cryotherapy is a separate procedure and not done after treatment with cantharidin.Burrow's soaks are not indicated.

Question 11

A patient reports localized itching after contact with a new brand of laundry detergent.The nurse will suggest that the patient contact the provider to discuss treatment with which product?

Accepted Answer

This patient has contact dermatitis related to contact with a chemical.Topical glucocorticoids may be used for the itching.Calamine lotion may contain diphenhydramine and is used mainly for contact with plant irritants.A topical diphenhydramine is not recommended because of an increased risk of allergic reaction to systemic diphenhydramine.Systemic glucocorticoids are used for more severe reactions.

Question 12

A female patient has begun using 2% minoxidil (Rogaine)to treat thinning of her hair.After several weeks of treatment,she reports minimal effectiveness but has noticed some improvement.The nurse will counsel her to perform which action?

Accepted Answer

The patient has shown some improvement,so she should keep using the product if she wants to maintain the results,since stopping treatment will result in hair loss in a few months.Finasteride and 5% minoxidil are not approved for women.

Question 13

A patient reports using benzoyl peroxide 2.5% for acne but doesn't feel that it is working.The nurse notes papules and nodules on the patient's face,neck,and back,consistent with moderate acne vulgaris.The nurse will counsel this patient to ask the provider about

Accepted Answer

Moderate acne requires a stronger concentration of benzoyl peroxide (10%)and possibly topical antibiotics.Isotretinoin is used for severe cystic acne.Systemic antibiotics are given for severe acne.

Quiz 45: Dermatologic Disorders

A patient who has extensive second- and third-degree burns will use mafenide acetate (Sulfamylon) to treat the burns.What is an important aspect of care for this patient?

A patient who works outdoors has frequent contact dermatitis flares secondary to exposure to plant irritants.The patient asks the nurse how to minimize these episodes.The nurse will counsel this patient to perform which action?

The nurse is teaching a female patient who will begin taking isotretinoin (Amnesteem) to treat severe cystic acne.Which statement by the patient indicates understanding of the teaching?

The nurse is teaching a group of adolescents about sun protection.What information will the nurse include when teaching this group?

The nurse is providing teaching for an adolescent who has acne vulgaris.In addition to teaching about correct administration of the prescribed medications,the nurse will instruct this patient to

A patient who has psoriasis will begin taking etanercept (Enbrel) .The nurse will ensure that which laboratory test is performed prior to initiating treatment with this drug?

A patient has second- and third-degree burns,and the nurse is applying silver sulfadiazine (Silvadene) to the burns with each dressing change.The patient reports a burning sensation.The nurse understands that this is

An adolescent patient is preparing to take a summer job as a landscaper and asks the nurse about insect repellents and sunscreens.Which statement by the nurse is correct?

A patient who has psoriasis is taking methoxsalen (Oxsoralen) to treat the condition along with receiving therapeutic ultraviolet A.The nurse notes burning and blistering of the patient's skin.Which action will the nurse take?

The nurse assists the provider to treat a patient who has warts with cantharidin (Cantharone) .After the cantharidin is applied to the warts,the nurse will

A patient reports localized itching after contact with a new brand of laundry detergent.The nurse will suggest that the patient contact the provider to discuss treatment with which product?

A female patient has begun using 2% minoxidil (Rogaine) to treat thinning of her hair.After several weeks of treatment,she reports minimal effectiveness but has noticed some improvement.The nurse will counsel her to perform which action?

A patient reports using benzoyl peroxide 2.5% for acne but doesn't feel that it is working.The nurse notes papules and nodules on the patient's face,neck,and back,consistent with moderate acne vulgaris.The nurse will counsel this patient to ask the provider about