The preoperative nurse is ready to perform a skin prep with povidone-iodine (Betadine) on a patient
who is about to have abdominal surgery. Which allergies, if present, would be a contraindication to the
Betadine prep? - ANSWER>>>>Shellfish
Pharm - Eyes, ear, skin
A father calls because his son has head lice. He reports that he used "that special medicated shampoo
three times, but nothing happened." He wants to know what to do now. What will the nurse advise
first? - ANSWER>>>>"Use a nit comb to remove nits from the hair shafts."
A teenage boy is taking tretinoin (Retin-A) for acne. Which statement will the nurse include in the
teaching plan? - ANSWER>>>>"This drug may cause increased redness of your skin."
The preoperative nurse is ready to perform a skin prep with povidone-iodine (Betadine) on a patient
who is about to have abdominal surgery. Which allergies, if present, would be a contraindication to the
Betadine prep? - ANSWER>>>>Shellfish
A patient is to receive a topical corticosteroid for an allergic rash. When administering this medication,
the nurse is aware that which form is generally the most penetrating when applied to the skin? -
ANSWER>>>>Ointments
A woman suffered a second-degree burn of the skin on her arm and hand while cooking breakfast. After
examination in the urgent care center, silver sulfadiazine cream (Silvadene) is ordered for the burned
area. The nurse will apply the medication using which procedure? - ANSWER>>>>Applying a thin layer
with a sterile, gloved hand to clean and débrided areas
A patient asks about using minoxidil (Rogaine) for hair thinning. Which statement about minoxidil is
accurate? - ANSWER>>>>Systemic absorption may cause tachycardia, fluid retention, and weight gain.
A child has been diagnosed with impetigo, a skin infection. The nurse anticipates that which drug will be
used to treat this condition? - ANSWER>>>>Bacitracin
A 55-year-old obese patient was diagnosed with candidiasis in the skin folds under her breasts. When
the nurse sees her at a follow-up visit 2 months later, she complains that it has returned. She said she
applied the medicine for 1 week and stopped because the itching stopped and the cream was messy.
Which statement is true regarding fungal infections of the skin? - ANSWER>>>>Fungal infections often
require prolonged therapy.
, A female patient will be starting therapy with oral isotretinoin (Amnesteem) as part of treatment for
severe acne, and the nurse is providing teaching. Which teaching point will the nurse include in her
teaching plan about isotretinoin? - ANSWER>>>>"You will have to use two contraceptive methods while
on this drug."
A patient is admitted to the hospital for possible septicemia. He has a large pressure ulcer on his heel
that is open and includes necrotic tissue. However, his PT/INR values are too high to permit surgical
débridement at this time. The nurse expects that which wound-care product will be used to treat the
wound? - ANSWER>>>>collagenase (Santyl)
The nurse is reviewing laboratory results for a patient and notes that the patient has positive results for
nasal colonization by methicillin-resistant Staphylococcus aureus (MRSA). The nurse anticipates an order
for which medication? - ANSWER>>>>Mupirocin (Bactroban)
The nurse is reviewing the medical record of a patient who is to receive wound care with topical silver
sulfadiazine (Silvadene). Which finding, if noted, would be a potential contraindication? -
ANSWER>>>>The patient is allergic to sulfa drugs.
A patient is considering taking oral aloe supplements and asks the nurse about potential problems with
this therapy. Which statement by the nurse is correct? - ANSWER>>>>Aloe is used by some to treat
constipation; it may cause diarrhea."
A female patient has been taking isotretinoin (Amnesteem) for 3 months. During a follow-up
appointment, which statement by the patient would be of highest concern to the nurse? -
ANSWER>>>>"I have been feeling rather down and lonely lately."
Crusted skin
Altered skin pigmentation
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