Lehne's Pharmacology for Nursing Care 9th Edition by Jacqueline Burchum
Lehne's Pharmacology for Nursing Care 9th Edition by Jacqueline Burchum
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Chapter 105: Drugs for the Skin
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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
| 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
| 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
| 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
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