Pharmacology Clear And Simple A Guide to Drug 2nd Edition By Watkins
Pharmacology Clear And Simple A Guide to Drug 2nd Edition By Watkins
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Chapter 11. Integumentary System Medications
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. While working in a dermatologist’s office, the nurse welcomes a new client who is 15 years old. The client has notable facial acne and a quick examination reveals scattered areas of keratinization and multiple pustules and comedos across the client’s shoulders and back. The nurse anticipates which of the following medications will be recommended?
| A. | Lindane (Rid-X) |
| B. | Salicylic acid (Stri-Dex) |
| C. | Anthralin (Psoriatec) |
| D. | Etanercept (Enbrel) |
____ 2. A nurse’s teenage daughter tearfully states, “I keep getting pimples on my face even though I wash it every day and I’m not eating any chips or cookies. What can I do?” While looking at over-the-counter treatment options, what common ingredient will the nurse most likely find in topical creams and lotions?
| A. | Hydrocortisone |
| B. | Lidocaine |
| C. | Clotrimazole |
| D. | Benzoyl peroxide |
____ 3. The nurse is admitting a 22-year-old client to the hospital with suspected fractures of the right arm after a bicycle accident. The client reports taking Vitamin A daily. Which of the following would the nurse expect to see during the physical examination?
| A. | Flushed nose and cheeks |
| B. | Oral fever blisters |
| C. | Dry patchy reddened areas on the hands and elbows |
| D. | Genital warts |
____ 4. While playing at the park with her children, the nurse notes a toddler who has honey-colored crusts and open areas on the lips and nose. Which of the following actions should the nurse take first?
| A. | No action is required as the child is exhibiting symptoms of a common cold and medications will not alter the child’s symptoms. |
| B. | Ask the child’s parent if the child has food allergies and suggest the use of an antihistamine. |
| C. | Inform the child’s parent the child may have a common bacterial infection and should be seen by a physician for topical or systemic antibiotics. |
| D. | Suggest the child’s parent seek treatment for suspected thrush with an oral antifungal agent. |
Answer Section
MULTIPLE CHOICE
TOP: Therapeutic Classification: Dermatologic Medications KEY: Application
MSC: NCLEX Category: Pharmacological Therapies
NOT: See Master Essentials Table and Bacteria (p. 207, 208): Acne is due to an increase in androgens during puberty. Abnormal keratinization (hardening of the epithelial tissue) can occur. Open comedos or black heads are oil glands plugged with melanin granules. Medications used to treat acne can be applied topically to the irritated areas, frequently the face, back, and neck. For severe acne, salicylic acid may be used topically to remove the infected skin through shedding. Lindane is a scabicide/pediculicide; anthralin and etanercept are antipsoriatic agents.
TOP: Therapeutic Classification: Dermatologic Medications KEY: Application
MSC: NCLEX Category: Pharmacological Therapies
NOT: See Master Essentials Table and Bacteria (p. 207–208): Over the counter medications such as creams, gels, or lotions usually contain benzoyl peroxide, a bacteriostatic agent. Hydrocortisone is an anti-inflammatory, lidocaine is a topical anesthetic, and clotrimazole is a topical antifungal agent.
TOP: Therapeutic Classification: Dermatologic Medications KEY: Analysis
MSC: NCLEX Category: Pharmacological Therapies
NOT: See Master Essentials Table and Bacteria (p. 208): Vitamin A is a retinoid commonly used in the treatment of rosacea. Rosacea is a type of skin irritation without pus that appears as flushed skin especially on the nose and cheek. Oral fever blisters are associated with HSV-1. Dry, patchy, reddened areas on the skin and joints are characteristic of psoriasis. Genital warts are associated with HPV and treated with cryosurgery, liquid nitrogen, or salicylic acid.
TOP: Therapeutic Classification: Dermatologic Medications KEY: Analysis
MSC: NCLEX Category: Safety and Infection Control
NOT: See Bacteria (p. 208): Impetigo is a common bacterial infection in children (classically seen with reddened areas around the nose and lips with honey-colored crusts). It is treated with topical or oral antibiotics.
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