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Flashcards in Agents Used in the Treatment of Skin Conditions Deck (18)
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1

Debriding agents are used to treat all of the following EXCEPT:
a. second-degree burns.
b. third-degree burns.
c. pressure ulcers.
d. surgical wounds.

d. surgical wounds.

2

A mother asks the nurse if there is a treatment of choice for both lice and scabies in persons over 2 years of age. The nurse’s best response is:
a. “Yes, its name is lindane.”
b. “Yes, its name is trypsin.”
c. “No, each condition requires a separate medication.”
d. “Gentamicin can be used for both, but it requires a prescription.”

a. “Yes, its name is lindane.”

3

When teaching the diabetic client proper foot care, the nurse recognizes that further teaching is necessary when the client responds:
a. “I should wash my feet daily with nondrying soap.”
b. “I must inspect my feet daily for areas of redness or breakdown.”
c. “I should always wear shoes.”
d. “I should allow my feet to air dry.”

d. “I should allow my feet to air dry.”

4

The nurse recognizes that this drug is indicated for both short-term and intermittent long-term treatment of eczema?
a. alefacept
b. efalizumab
c. pimecrolimus
d. nitrofurazone

c. pimecrolimus

5

The usual period of time that elapses between the formation of a new epidermal cell and the sloughing of its residue from the skin surface is:
a. 4 weeks.
b. 24 hours
c. 3 months.
.d. 72 hours.

a. 4 weeks.

New epidermal cells and the sloughing of cell residue occurs every 28 days.

6

An emollient is a drug used to:
a. dry the skin. .
b. debride a wound.
c. moisturize the skin
d. remove keratin.

c. moisturize the skin

7

Salicylic acid is an ingredient in many topical drug products. Its primary purpose in these products is to act as a(n):
a. keratolytic.
b. emollient.
c. antibacterial.
d. antifungal.

a. keratolytic.

This is the primary purpose of salicylic acid in topical medications.

8

When caring for a burn client receiving silver sulfadiazine wound care, the nurse should:
a. monitor urine for blood.
b. use with caution in clients with renal insufficiency.
c. monitor for manifestations of metabolic acidosis.
d. monitor serum sulfa concentrations.


d. monitor serum sulfa concentrations.

Because it is being applied to open lesions and thus being absorbed into systemic circulation, sulfa levels must be monitored.

9

The client diagnosed with rosacea and receiving a product containing azelaic acid should be instructed:
a. to place an occlusive dressing over the site of application of medication.
b. to avoid spicy foods, alcoholic beverages, and thermally hot drinks.
c. to firmly pat the agent into the affected areas of the face.
d. that there is not need to worry if the medication comes into contact with the eyes.

b. to avoid spicy foods, alcoholic beverages, and thermally hot drinks.

can cause erythema and flushing of the skin.

10

Collagenase is used most commonly in topical products as a(n):
a. debriding agent.
b. antiviral agent.
c. antifungal agent.
d. keratolytic agent.

a. debriding agent.

11

Your client has a diagnosis of psoriasis and receives a prescription for acitretin. You should monitor the client for all of the following EXCEPT:
a. epistaxis.
b. excitation.
c. insomnia.
d. myalgia.

b. excitation.

12

When applying a topical medication to a skin lesion, the nurse should work from the:
a. top of the lesion to the bottom.
b. bottom of the lesion to the top.
c. center of the lesion to the outside.
d. outside of the lesion to the center.

c. center of the lesion to the outside.

13

To increase the absorption of a topical medication with a prescription, the nurse should:
a. massage the medication into the skin.
b. apply an occlusive dressing.
c. keep the gauze dressing dry.
d. remove any residue from previous medication.

b. apply an occlusive dressing.

This will increase absorption, but must be prescribed.

14

When teaching a client about dry skin, the nurse recognizes which client response as indicating a need for further teaching?
a. “Avoiding the use of harsh soaps is helpful in preventing dry skin.”
b. “Increasing the humidity may be helpful in preventing dry skin.”
c. “Treating dry skin is generally easier than preventing it.”
d. “Special care might be necessary to avoid dry skin as I get older.”

c. “Treating dry skin is generally easier than preventing it.”

15

When applying acyclovir, the nurse should:
a. apply the powder liberally.
b. wear a finger cot or glove.
c. avoid applying it to open skin lesions.
d. massage the medication into the skin.

b. wear a finger cot or glove.

This prevents spread of the herpes simplex or herpes zoster virus.

16

18. When caring for a client receiving alefacept, the nurse should:
a. apply a thin layer of the medication.
b. rotate the IM injection sites.
c. after applying the medication, cover with a gauze dressing.
d. monitor the client’s urine.

b. rotate the IM injection sites.

This is necessary to prevent skin breakdown.

17

Which of the following would NOT be a necessary action for the nurse as she is caring for a client with acne?
a. Perform skin assessment.
b. Provide appropriate client instructions.
c. Monitor the client for manifestations of infection.
d. Apply the topical agents firmly, and then cover with a dressing.

d. Apply the topical agents firmly, and then cover with a dressing.

18

A client is admitted to the hospital with acute severe burns to his upper torso from an explosion. He is prescribed a neuromuscular blocking agent for which of the following reasons?
a. to facilitate surgery by reducing muscle movement
b. to aid in the treatment of a condition resulting in severe muscle spasms
c. to facilitate electroconvulsive therapy by reducing muscle movement
d. to prevent muscle spasm of the larynx in clients who require endotracheal intubation

d. to prevent muscle spasm of the larynx in clients who require endotracheal intubation

Acute severe upper torso burns from a explosion will result in the need for endotracheal intubation and mechanical ventilation.