1.A client is diagnosed with acne. The client expresses concern to the nurse that he has not
yet been placed on medication. The nurse explains to the client that the initial
nonpharmacologic approach for treating acne vulgaris includes
a.application of large doses of vitamin A.
b.application of large doses of vitamin C.
c. cleansing of the skin gently several times a day.
d.vigorously scrubbing skin in the morning and at bedtime.
ANS C
Gentle cleansing is one of the chief nonpharmacologic treatments of acne.
DIFCognitive Level ApplicationREFdm. 748
TOPNursing Process Intervention
MSCCONTENT CATEGORY Health Promotion and Maintenance
2. The client has been placed on tetracycline (Sumycin) for acne control. In planning a dosage
schedule, the nurse anticipates that the client will be taking
a.low doses over a period of months.
b.low doses for 3 to 4 weeks.
c.high doses for 10 days to 2 weeks.
d.high doses for at least 1 year.
ANS A
The most effective course of tetracycline dosage is low doses of the drug over a period of
months.
DIFCognitive Level ApplicationREFpp. 748-749
TOPNursing Process Analysis
, MSC CONTENT CATEGORY Physiological Integrity Pharmacological and Parenteral
Therapies
3. Photosensitivity is a major complication of tetracycline (Sumycin). In
providing client teaching, the nurse should suggest that the client while on
the medication. a.avoid direct sunlight
b.wear a hat and long sleeves in the sun
c.use a tanning bed only with supervision
d.use a suntan lotion with a high SPF
ANS A
To avoid photosensitivity, the client should avoid direct sunlight while she is taking the
medication.
DIFCognitive Level ApplicationREFpp. 748-749
TOPNursing Process Intervention/Teaching
MSC CONTENT CATEGORY Physiological Integrity Pharmacological and Parenteral
Therapies
4. The client is being treated extensively with silver nitrate cream. The nurse plans
to closely monitor the clients level of
a.calcium.
b.sodium.
c. potassium.
d.magnesium.
ANS C
Extensive use of silver nitrate can lead to hypokalemia.
DIFCognitive Level ApplicationREFdm. 757
TOPNursing Process Analysis
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