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STUVIA 2024/2025Chapter 45: Dermatologic Disorders
A female patient has begun using 2% minoxidil (Rogaine) to treat thinning of her hair. After several
weeks of treatment, she reports minimal effectiveness but has noticed some improvement. The nurse
will counsel her to perform which action?
a. Continue to use the 2% minoxidil.
b. Change to finasteride (Propecia).
c. Discontinue the minoxidil.
d. Increase to 5% minoxidil. - ✔✔ANS: A
The patient has shown some improvement, so she should keep using the product if she wants to
maintain the results, since stopping treatment will result in hair loss in a few months. Finasteride and
5% minoxidil are not approved for women.
A patient has second- and third-degree burns, and the nurse is applying silver sulfadiazine
(Silvadene) to the burns with each dressing change. The patient reports a burning sensation. The
nurse understands that this is:
a. a hypersensitivity reaction to the medication.
b. an expected adverse reaction to the medication.
c. a sign of localized tissue infection.
%
d. a sign of skin necrosis. - ✔✔ANS: B
A common adverse reaction to silver sulfadiazine is a burning sensation. It does not indicate a
hypersensitivity reaction, localized tissue infection, or skin necrosis.
A patient reports severe localized itching after contact with a new brand of laundry detergent. The
nurse will suggest that the patient contact the provider to discuss treatment with which product?
a. Calamine lotion
b. Systemic glucocorticoid
c. Topical diphenhydramine
d. Topical corticosteroid - ✔✔ANS: D
This patient has contact dermatitis related to contact with a chemical. Topical corticosteroids may be
used for the itching. Calamine lotion may contain diphenhydramine and is used mainly for contact
with plant irritants. A topical diphenhydramine is not recommended because of an increased risk of
allergic reaction to systemic diphenhydramine. Systemic steroids are used for more severe reactions.
A patient reports using benzoyl peroxide 2.5% for acne but doesn't feel that it is working. The nurse
notes papules and nodules on the patient's face, neck, and back, consistent with moderate acne
vulgaris. The nurse will counsel this patient to ask the provider about which of the following?
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