Chapter 52: Skin Disorder Topical Drugs Introductory Clinical Pharmacology 12th Edition by Susan M Ford

Introductory Clinical Pharmacology 12th Edition by Susan M Ford 1. A nurse has administered topical benzocaine to a client in preparation for a minor treatment. The nurse will prioritize which findings if noted on the ongoing assessment? a. Stinging, tenderness, and sloughing b. Erythema, flaking, and dryness c. Transient burning sensation d. Oiliness or dryness of hair Answer: A Rationale: The nurse should monitor for stinging, tenderness, and sloughing in the client as adverse reactions to benzocaine. Erythema, flaking, and dryness are adverse reactions to masoprocol. A transient burning sensation is an adverse reaction to collagenase. Oiliness or dryness of the hair is an adverse reaction to selenium sulfide. Question format: Multiple Choice Chapter: 52 Learning Objective: 2 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 726, Summary Drug Table 2. The nurse is using chlorhexidine on a client for preoperative skin preparation. Which finding on the ongoing assessment should the nurse prioritize? a. Taste perversion b. Headache c. Deafness d. Mild erythema Answer: C Rationale: The nurse should monitor for deafness as an adverse reaction to the use of chlorhexidine. Taste perversion, headache, and mild erythema are adverse reactions to penciclovir. Question format: Multiple Choice Chapter: 52 Learning Objective: 2 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 726, Summary Drug Table 3. A nurse is preparing to administer lidocaine viscous to a client scheduled for minor surgery. Which instruction regarding the intake of food should the nurse give the client? a. Drink plenty of water along with food. b. Avoid intake of heavy and fibrous food. c. Ensure the food is not too hot or cold. d. Do not eat food for 1 hour after use. Answer: D Rationale: When lidocaine viscous is used for oral anesthesia, the nurse instructs the client not to eat food for 1 hour after use because local anesthesia of the mouth or throat may impair swallowing and increase the possibility of aspiration. The nurse need not instruct the client to drink plenty of water along with food, avoid intake of heavy and fibrous food, or ensure the food is not too hot or cold as these are not relevant with oral anesthesia. Question format: Multiple Choice Chapter: 52 Learning Objective: 5 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 723, Topical Anesthetics 4. A nurse is teaching a client how to properly apply a topical corticosteroid. The nurse determines the session is successful when the client correctly applies the medication in which manner? a. Clean the area with an antiseptic before applying the drug. b. Apply the topical corticosteroid sparingly. c. Place a sterile cloth over the area of application. d. Rub the application into the skin vigorously. Answer: B Rationale: Before drug application, the area is washed with soap and warm water unless the primary health care provider directs otherwise. Topical corticosteroids are usually ordered to be applied sparingly. The primary health care provider also may order the area of application to be covered or left exposed to the air. If covered, a dressing, not sterile cloth, would be used. The medication should be rubbed in gently. Question format: Multiple Choice Chapter: 52 Learning Objective: 5 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 723, Topical Corticosteroids 5. The nurse is developing the plan of care for a client with a skin lesion requiring topical therapy. Which nursing diagnosis would the nurse most likely prioritize? a. Acute pain b. Risk for infection c. Impaired skin integrity d. Disturbed body image Answer: C Rationale: Although all the nursing diagnoses apply, the priority nursing diagnosis would be impaired skin integrity due to the presence of a skin lesion and need for treatment. Question format: Multiple Choice Chapter: 52 Learning Objective: 4 Cognitive Level: Analyze Client Needs: Physiological Integrity: Reduction of Risk Potential Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 724, Altered Skin Integrity 6. A nursing instructor is teaching a group of nursing students about topical drugs for skin disorders. The instructor determines that the teaching was successful when the students correctly choose which drug is used to prevent institutional outbreaks of methicillin-resistant Staphylococcus aureus (MRSA)? a. Bacitracin b. Mupirocin c. Retapamulin d. Clindamycin