Author Question: A client with psoriasis is prescribed topical corticosteroids. What will the nurse instruct the ... (Read 87 times)

clippers! · **on:** Jul 23, 2018

A client with psoriasis is prescribed topical corticosteroids. What will the nurse instruct the client on the use of this medication?

Standard Text: Select all that apply.
1. Apply a moist dressing over the medication on the skin.
2. Wrap the medication and moist dressing with an occlusive covering.
3. Remove occlusive coverings and wraps every 8 hours.
4. Ongoing use of this medication will improve healing.
5. If this medication does not work, you'll need to take oral medications.

Question 2

A client has a minor infection of the skin around the fingernails. What can the nurse suggest the client use for this infection?

Standard Text: Select all that apply.
1. Bacitracin ointment
2. Neomycin with polymyxin B (Neosporin) ointment
3. Undecylenic acid (Cruex)
4. Clotrimazole (Mycelex)
5. Acyclovir (Zovirax)

Athena23 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Applying a warm, moist dressing over the medication on the skin is one way to enhance drug penetration.
Rationale 2: Wrapping the site with the medication and moist dressing with an occlusive covering will enhance drug penetration.
Rationale 3: Wraps should not be left in place for longer than 8 hours.
Rationale 4: Repeated use of topical corticosteroids will result in tolerance.
Rationale 5: There are other types of topical medications used to treat psoriasis.
Global Rationale: Applying a warm, moist dressing over the medication on the skin is one way to enhance drug penetration. Wrapping the site with the medication and moist dressing with an occlusive covering will enhance drug penetration. Wraps should not be left in place for longer than 8 hours. Repeated use of topical corticosteroids will result in tolerance. There are other types of topical medications used to treat psoriasis.

Answer to Question 2

Correct Answer: 1,2
Rationale 1: Bacitracin ointment is an over-the-counter medication for minor skin infections.
Rationale 2: Neomycin with polymyxin B (Neosporin) ointment is an over-the-counter medication for minor skin infections.
Rationale 3: This medication is used for fungal infections.
Rationale 4: This medication is used for fungal infections.
Rationale 5: This medication is used for viral infections.
Global Rationale: Bacitracin ointment and Neomycin with polymyxin B aren over-the-counter medications for minor skin infections. Undecylenic acid (Cruex) and clotrimazole (Mycelex) are used for fungal infections. Acyclovir (Zovirax) is used for viral infections.