This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse is caring for a young woman who comes to the dermatologist's office. The patient states ... (Read 97 times)

Sufayan.ah

  • Hero Member
  • *****
  • Posts: 512
on: Jul 23, 2018
The nurse is caring for a young woman who comes to the dermatologist's office.
 
  The patient states that she has been taking Estrostep for 6 months and has not seen any improvement in her acne, and she wants to try something more effective. What medication would the nurse expect to be added to the regimen?
  a. Benzoyl peroxide
  b. Spironolactone (Aldactone)
  c. Ortho Tri-Cyclen as a substitute for Estrostep
  d. Isotretinoin (Accutane)

Question 2

The public health nurse is teaching a class on summer and sun precautions. Which statement by a member of the class about the use of sunscreens best demonstrates understanding?
 
  a. Sunscreens containing PABA should be avoided in those with allergy to hydrochlorothiazide .
  b. Sunscreens cannot protect against photoaging of the skin.
  c. Sunscreens cannot protect against photosensitivity reactions during use of sulfonamides.
  d. An SPF of 40 is twice as potent as an SPF of 15.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

wilsonbho

  • Sr. Member
  • ****
  • Posts: 322
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
As a rule, spironolactone is added to the regimen after an oral contraceptive, such as Estrostep, has proved inadequate. Spironolactone blocks androgen receptors, which benefits females with acne. Because spironolactone is teratogenic, it must be added after, not before, the contraceptives.
Benzoyl peroxide and isotretinoin are not indicated as additions to this regimen.
Ortho Tri-Cyclen is not indicated, because it would have the same effect as Estrostep.

Answer to Question 2

ANS: A
Sunscreens that contain para-aminobenzoic acid (PABA) should not be used by people with allergies to benzocaine, sulfonamides, and thiazides, all of which can cross-react with PABA. Hydrochlorothiazide is a thiazide diuretic. This statement demonstrates understanding.
Sunscreens do protect against photoaging of the skin; further teaching is needed.
Sunscreens protect against photosensitivity reactions associated with sulfonamides; further teaching is needed.
An SPF of 40 (97.5 block) is not twice as potent as an SPF of 15 (93 block); further teaching is needed.


Sufayan.ah

  • Member
  • Posts: 512
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

alexanderhamilton

  • Member
  • Posts: 334
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

Drugs are in development that may cure asthma and hay fever once and for all. They target leukotrienes, which are known to cause tightening of the air passages in the lungs and increase mucus productions in nasal passages.

Did you know?

Bisphosphonates were first developed in the nineteenth century. They were first investigated for use in disorders of bone metabolism in the 1960s. They are now used clinically for the treatment of osteoporosis, Paget's disease, bone metastasis, multiple myeloma, and other conditions that feature bone fragility.

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

Did you know?

Your skin wrinkles if you stay in the bathtub a long time because the outermost layer of skin (which consists of dead keratin) swells when it absorbs water. It is tightly attached to the skin below it, so it compensates for the increased area by wrinkling. This happens to the hands and feet because they have the thickest layer of dead keratin cells.

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

Young African Sulcata tortoise Young African Sulcata tortoise
Patient teaching: female breast assessment Patient teaching: female breast assessment
The patient's signature on the informed consent form indicates that the patient understands the The patient's signature on the informed consent form indicates that the patient understands the
Types, Sizes, and Uses of Computers in the Medical Office Types, Sizes, and Uses of Computers in the Medical Office
Incidence of acute hepatitis B in the United States, 1980–2008. Incidence of acute hepatitis B in the United States, 1980–2008.
Cooperative Care: A pair of Caspian terns cooperate in caring for their chick. Cooperative Care: A pair of Caspian terns cooperate in caring for their chick.
Video: Arthroscopy

For a complete list of videos, visit our video library