Author Question: A client receives topical glucocorticoids for the treatment of dermatitis. The nurse has completed ... (Read 21 times)

mwit1967 · **on:** Jul 23, 2018

A client receives topical glucocorticoids for the treatment of dermatitis. The nurse has completed medication education and evaluates that learning has occurred when the client makes which statement?

1. This lotion is a lot safer and more effective than a pill.
2. Long-term use of this lotion can lead to dependence.
3. If this medication doesn't help me, there is nothing left to try.
4. A pill would be more effective than this messy lotion.

Question 2

The nurse is preparing to apply a topical cream to a client with psoriasis. What will the nurse do prior to applying this lotion?

1. Use a mask to avoid inhaling the fumes.
2. Obtain a tongue blade for the application.
3. Give the cream to the client to apply.
4. Put on gloves before the application.

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

Answer to Question 1

Correct Answer: 1
Rationale 1: Topical agents are less likely than oral medications to cause systemic effects, so they are safer and more effective.
Rationale 2: Dependence does not occur with glucocorticoids.
Rationale 3: If topical medications are ineffective, they can be augmented with oral agents.
Rationale 4: Topical agents, not oral agents, are the most effective treatment for dermatitis.
Global Rationale: Topical agents are less likely than oral medications to cause systemic effects, so they are safer and more effective. Dependence does not occur with glucocorticoids. If topical medications are ineffective, they can be augmented with oral agents. Topical agents, not oral agents, are the most effective treatment for dermatitis.

Answer to Question 2

Correct Answer: 4
Rationale 1: There is no need for a mask.
Rationale 2: A tongue blade might not be sufficient to apply the cream.
Rationale 3: The client might not be able to reach the area of the psoriasis; the nurse should apply the cream.
Rationale 4: The best way to apply the cream is with the hand, so the nurse should use gloves to prevent absorbing the medication.
Global Rationale: The best way to apply the cream is with the hand, so the nurse should use gloves to prevent absorbing the medication. A tongue blade might not be sufficient to apply the cream. There is no need for a mask.
The client might not be able to reach the area of the psoriasis; the nurse should apply the cream.