Saunders Comprehensive Review for the NCLEX-RN Examination: Chapter 47: Integumentary Medications Flashcards


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Integumentary Medications
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1

Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing that which finding indicates the presence of systemic toxicity from this medication?

  1. Tinnitus
  2. Diarrhea
  3. Constipation
  4. Decreased respirations

Tinnitus

2

The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which instructions should the nurse provide? Select all that apply.

  1. Sunscreen should be applied every 8 hours.
  2. Use sunscreen when participating in outdoor activities.
  3. Wear a hat, opaque clothing, and sunglasses when in the sun.
  4. Avoid sun exposure in the late afternoon and early evening hours.
  5. Examine your body monthly for any lesions that may be suspicious.
  • Use sunscreen when participating in outdoor activities.
  • Wear a hat, opaque clothing, and sunglasses when in the sun.
  • Examine your body monthly for any lesions that may be suspicious.

3

Silver sulfadiazine is prescribed for a client with a burn injury. Which laboratory finding requires the need for follow-up by the nurse?

  1. Glucose level of 99 mg/dL (5.65 mmol/L)
  2. Magnesium level of 1.5 mEq/L (0.75 mmol/L)
  3. Platelet level of 300,000 mm3 (300 × 109/L)
  4. White blood cell count of 3000 mm3 (3.0 × 109/L)

White blood cell count of 3000 mm3 (3.0 × 109/L)

4

A burn client is receiving treatments of topical mafenide acetate to the site of injury. The nurse monitors the client, knowing that which finding indicates that a systemic effect has occurred?

  1. Hyperventilation
  2. Elevated blood pressure
  3. Local rash at the burn site
  4. Local pain at the burn site

Hyperventilation

5

Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed?

  1. Potassium level
  2. Triglyceride level
  3. Hemoglobin A1C
  4. Total cholesterol level

Triglyceride level

6

A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes isotretinoin. The nurse reviews the client's medication record and would contact the HCP if the client is also taking which medication?

  1. Digoxin
  2. Phenytoin
  3. Vitamin A
  4. Furosemide

Vitamin A

7

The nurse is applying a topical corticosteroid to a client with eczema. The nurse should apply the medication to which body area? Select all that apply.

  1. Back
  2. Axilla
  3. Eyelids
  4. Soles of the feet
  5. Palms of the hands
  • Back
  • Soles of the feet
  • Palms of the hands

8

The clinic nurse is performing an admission assessment on a client and notes that the client is taking azelaic acid. The nurse determines that which client complaint may be associated with use of this medication?

  1. Itching
  2. Euphoria
  3. Drowsiness
  4. Frequent urination

Itching

9

Silver sulfadiazine is prescribed for a client with a partial-thickness burn and the nurse provides teaching about the medication. Which statement made by the client indicates a need for further teaching about the treatments?

  1. "The medication is an antibacterial."
  2. "The medication will help heal the burn."
  3. "The medication is likely to cause stinging every time it is applied."
  4. "The medication should be applied directly to the wound."

"The medication is likely to cause stinging every time it is applied."

10

The camp nurse asks the children preparing to swim in the lake if they have applied sunscreen. The nurse reminds the children that chemical sunscreens are most effective when applied at which times?

  1. Immediately before swimming
  2. 5 minutes before exposure to the sun
  3. Immediately before exposure to the sun
  4. At least 30 minutes before exposure to the sun

At least 30 minutes before exposure to the sun