Chapter 56: Dermatologic Drugs
Chapter 56: Dermatologic Drugs MULTIPLE CHOICE 1. A father calls because his son has head lice. He reports that he used Kwell shampoo three times,
but nothing happened.” He wants to know what to do now. What will the nurse advise first? a. “It sounds like you need a prescription for a second product, malathion.” b. “Try one of the lotion products instead.” c. “Be sure to use a nit comb to remove nits from the hair shafts.” d. “Try combing through the hair with mineral oil to loosen the lice from the hair shafts.” ANS: C
Before trying another product, ensure that he is performing the regimen correctly. Because he only mentioned shampooing, ensure that after each shampoo he is using a nit comb to remove nits, or eggs, from the hair shafts. DIF: COGNITIVE LEVEL: Applying (Application) TOP: NURSING PROCESS: Evaluation MSC: NCLEX: Safe and Effective Care Environment: Management of Care 2. A teenage boy is taking tretinoin (Retin-A) for acne. Which statement will the nurse include in
the teaching plan? a. “Avoid foods that are heavy in salt and oils.” b. “This drug may cause increased redness of your skin.” c. “Try using an abrasive cleanser to remove old skin layers.” d. “Being out in the sunlight will help your skin heal.” ANS: B
Tretinoin may cause increased redness and drying, and the patient needs to avoid weather extremes, ultraviolet light, and abrasive cleansers. Certain foods do not need to be avoided. DIF: COGNITIVE LEVEL: Applying (Application) TOP: NURSING PROCESS: Planning MSC: NCLEX: Physiological Integrity: Physiological Adaptation 3. 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? a. Peanuts b. Shellfish c. Adhesives d. Latex ANS: B
Povidone-iodine, a widely used antiseptic, cannot be used in patients who are allergic to iodine or have shellfish allergies. DIF: COGNITIVE LEVEL: Understanding (Comprehension)
304
