A patient has actinic keratosis and is unable to tolerate the ...

[luvbio]

A patient has actinic keratosis and is unable to tolerate the effects of fluorouracil. The provider orders the nonsteroidal anti-inflammatory drug diclofenac sodium Solaraze 3 gel.
 
  What will the nurse include when teaching this patient about this medication? a. Apply this medication three times daily for 30 days.
  b. Dry skin, itching, and rash are common local side effects.
  c. This drug has the same risk of GI side effects as with oral NSAIDs.
  d. You do not need to protect your skin from sunlight with diclofenac.

Question 2

A nurse is teaching a parent about the observation strategy for managing a 3-year-old child's ear infection. Which statement by the parent indicates understanding of the teaching?
 
  a. I should not give analgesics, because they may mask important symptoms.
  b. I will give ibuprofen or acetaminophen for pain or fever as needed.
  c. I will let my provider know if the symp-toms are not better in 1 week.
  d. There is a slight risk of mastoiditis if an-tibiotic therapy is delayed.

Question 3

The nurse is caring for a patient who is receiving vancomycin Vancocin. The nurse notes that the patient is experiencing flushing, rash, pruritus, and urticaria.
 
  The patient's heart rate is 120 beats per minute, and the blood pressure is 92/57 mm Hg. The nurse understands that these find-ings are consistent with: a. allergic reaction.
  b. red man syndrome.
  c. rhabdomyolysis.
  d. Stevens-Johnson syndrome.

[lorealeza]

Answer to Question 1

B
Localized skin reactions are common effects with diclofenac. The medication is applied twice daily for 60 to 90 days. The risk of GI side effects is very low. Diclofenac causes sensitization to UV radiation, so patients should be taught to avoid exposure and to use sunscreen.

Answer to Question 2

Thank you soo much

Answer to Question 3

B
Rapid infusion of vancomycin can cause flushing, rash, pruritus, urticaria, tachycardia, and hy-potension, a collection of symptoms known as red man syndrome. Rhabdomyolysis is not asso-ciated with the administration of vancomycin. The patient's symptoms may seem to indicate an allergic reaction, but this is specifically red man syndrome. The symptoms are not those of Ste-vens-Johnson syndrome, which manifests as blisters or sores (or both) on the lips and mucous membranes after exposure to the sun.

[luvbio]

Both answers were spot on, thank you once again

[lorealeza]

Great! Please up vote