Chapter 56: Dermatologic Drugs

Chapter 56: Dermatologic Drugs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A father calls because his son has head lice. He reports that he used Kwell shampoo three times, but nothing happened.” He wants to know what to do now. What will the nurse advise first?

a.	“It sounds like you need a prescription for a second product, malathion.”
b.	“Try one of the lotion products instead.”
c.	“Be sure to use a nit comb to remove nits from the hair shafts.”
d.	“Try combing through the hair with mineral oil to loosen the lice from the hair shafts.”

 

 

ANS:  C

Before trying another product, ensure that he is performing the regimen correctly. Because he only mentioned shampooing, ensure that after each shampoo he is using a nit comb to remove nits, or eggs, from the hair shafts.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 893

TOP:   NURSING PROCESS: Evaluation

MSC:  NCLEX: Safe and Effective Care Environment: Management of Care

 

2. A teenage boy is taking tretinoin (Retin-A) for acne. Which statement will the nurse include in the teaching plan?

a.	“Avoid foods that are heavy in salt and oils.”
b.	“This drug may cause increased redness of your skin.”
c.	“Try using an abrasive cleanser to remove old skin layers.”
d.	“Being out in the sunlight will help your skin heal.”

 

 

ANS:  B

Tretinoin may cause increased redness and drying, and the patient needs to avoid weather extremes, ultraviolet light, and abrasive cleansers. Certain foods do not need to be avoided.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 889

TOP:   NURSING PROCESS: Planning

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

3. The preoperative nurse is ready to perform a skin prep with povidone-iodine (Betadine) on a patient who is about to have abdominal surgery. Which allergies, if present, would be a contraindication to the Betadine prep?

a.	Peanuts
b.	Shellfish
c.	Adhesives
d.	Latex

 

 

ANS:  B

Povidone-iodine, a widely used antiseptic, cannot be used in patients who are allergic to iodine or have shellfish allergies.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 894

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Safe and Effective Care Environment: Safety and Infection Control

 

4. A woman suffered a second-degree burn of the skin on her arm and hand while cooking breakfast. After examination in the urgent care center, silver sulfadiazine cream (Silvadene) is ordered for the burned area. The nurse will apply the medication using which procedure?

a.	Gently patting a moderate amount over the burned area
b.	Massaging the cream completely into the wound
c.	Applying a thick layer over the burned area, and then leaving the area open
d.	Applying a thin layer with a sterile, gloved hand to clean and débrided areas

 

 

ANS:  D

Apply a thin layer of medication with a sterile, gloved hand to clean and débrided wounds. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 888

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

5. A patient asks about using minoxidil (Rogaine) for hair thinning. Which statement about minoxidil is accurate?

a.	The product is applied once daily in the morning.
b.	Systemic absorption of topically applied minoxidil is rare.
c.	Results may be seen as soon as 2 weeks after beginning therapy.
d.	Systemic absorption may cause tachycardia, fluid retention, and weight gain.

 

 

ANS:  D

Results of minoxidil therapy may not be seen for 4 months after beginning therapy. The product is applied twice daily, morning and evening, and systemic effects may result because of absorption.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 893

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies