Chapter 105: Drugs for the Skin

Chapter 105: Drugs for the Skin

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. An infant has a severe contact diaper dermatitis. The provider orders triamcinolone acetonide [Kenalog] 0.1% cream to be applied 3 times daily. When teaching the infant’s parents about this medication, the nurse will instruct them to apply:

a.	a thick layer and massage the cream into the skin.
b.	a thin layer and leave the diaper open as much as possible.
c.	the cream and place an occlusive dressing over the area.
d.	the cream and put the infant’s diaper on tightly.

 

 

ANS:  B

Topical glucocorticoids can be absorbed systemically and cause adverse effects. To minimize systemic and local adverse effects, the medication should be applied sparingly. Parents should be taught to avoid tight-fitting diapers. The cream should be rubbed gently into the skin. Occlusive dressings increase the risk of adverse effects. Putting the diaper on tightly creates an occlusive dressing.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   p. 1279

TOP:   Nursing Process: Implementation

MSC:  NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

 

2. A patient is using a high-concentration keratolytic agent containing 20% salicylic acid to remove warts. What will the nurse teach this patient?

a.	Peeling and drying are desired effects of this drug.
b.	Systemic effects may occur with this medication.
c.	Tinnitus is a common side effect of little concern.
d.	Tissue injury is unlikely at this dose.

 

 

ANS:  B

Salicylic acid is readily absorbed through the skin, and systemic toxicity can result. Peeling and drying are not desired effects of salicylic acid. Tinnitus is a symptom of systemic toxicity. Tissue injury is likely in any concentration above 6%.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   pp. 1279-1280

TOP:   Nursing Process: Planning

MSC:  NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

 

3. A teenaged female patient has begun to develop acne and asks a nurse how to minimize pimple formation. What will the nurse recommend?

a.	Asking the provider about oral contraceptives
b.	Cleansing the face gently 2 to 3 times daily
c.	Eliminating greasy foods from the diet
d.	Using an abrasive agent to scrub the face

 

 

ANS:  B

Gentle cleansing 2 to 3 times a day can reduce surface oiliness and help minimize acne lesions. Oral contraceptives are not first-line treatment for acne. Eliminating greasy foods from the diet does not affect pimple formation. An abrasive agent is not indicated for mild acne.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   p. 1281

TOP:   Nursing Process: Implementation

MSC:  NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies

 

4. An adolescent has recently been experiencing pimples. The nurse notes several closed comedones across the patient’s forehead and on the nose. The nurse will expect to teach this patient about the use of which medication?

a.	Benzoyl peroxide
b.	Topical clindamycin
c.	Topical erythromycin
d.	Topical retinoids

 

 

ANS:  A

Benzoyl peroxide is a first-line drug for mild to moderate acne. Other topical antibiotics and retinoids are used when first-line therapy fails.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   p. 1282

TOP:   Nursing Process: Planning

MSC:  NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies