A patient is using a high-concentration keratolytic agent ...

[Pineappleeh]

A patient is using a high-concentration keratolytic agent containing salicylic acid to remove warts. What will the nurse teach this patient?
 
  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.

Question 2

An infant has a severe contact diaper dermatitis. The provider orders triamcinolone acetonide (Kenalog) 0.1 cream to be applied 3 times daily. When teaching the infant's parents about this medication, the nurse will instruct them to apply:
 
  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.

[mcinincha279]

Answer to Question 1

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.

Answer to Question 2

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.

[Pineappleeh]

Excellent

[ttt030911]

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