Chapter 20: Topical Medications

Introduction To Clinical Pharmacology 8th Edition by Marilyn Winterton Edmunds

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Chapter 20: Topical Medications

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. An anorectal preparation may be prescribed for a person with which condition?
a. Constipation
b. Hemorrhoids
c. Bowel incontinence
d. Polyps

 

 

ANS:  B

Anorectal preparations include emollients, foams, and gels for topical anesthesia or healing of the rectal area.

 

DIF:    Cognitive Level: Understand            REF:   p. 408             OBJ:   1

TOP:   Anorectal Preparations                    KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

 

  1. A patient is instructed to take an oral troche by which means?
a. Dissolving it slowly in the mouth
b. Chewing and swallowing it
c. Holding it under the tongue for 1 minute
d. Swallowing it whole with 8 oz of water

 

 

ANS:  A

These miscellaneous products are used to soothe minor inflammation in the mouth. The patient should be taught the appropriate administration technique for the drug form that is being used.

 

DIF:    Cognitive Level: Understand            REF:   p. 409             OBJ:   2

TOP:   Mouth Preparations                         KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

  1. Acyclovir ointment is prescribed for the treatment of which condition?
a. Chickenpox
b. Eczema
c. Psoriasis
d. Herpes simplex

 

 

ANS:  D

Acyclovir (Zovirax) is used for the treatment of herpes simplex.

 

DIF:    Cognitive Level: Remember            REF:   p. 415 | Table 20-5

OBJ:   1                    TOP:   Antiviral Agents                              KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

 

  1. Silvadene is used in treatment of which skin problem?
a. Herpes simplex lesions
b. Hives
c. Burns
d. Bee stings

 

 

ANS:  C

Silver sulfadiazine (Silvadene) is used as a burn preparation.

 

DIF:    Cognitive Level: Remember            REF:   p. 415| Table 20-5

OBJ:   1                    TOP:   Topical Medications                        KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

 

  1. A young patient comes into the clinic complaining of acne. He is started on Differin. What should the nurse instruct him to do?
a. Wash the face and apply gel.
b. Apply gel and do not wash off for 8 hours.
c. Apply gel and use a cold compress.
d. Use gel only; no washing is necessary.

 

 

ANS:  A

The nurse’s instruction should be: when using Differin, wash your face and apply a thin film of gel to affected areas once a day.

 

DIF:    Cognitive Level: Understand            REF:   p. 414 | Table 20-5

OBJ:   2                    TOP:   Acne Preparations

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

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