(ACCUMLATIVE NCLEX) NCLEX: Respiratory, Neuro, GI, Ortho Cardio GI, Endocrine, Integumentary

(ACCUMLATIVE NCLEX) NCLEX: Respiratory, Neuro, GI, Ortho Cardio GI, Endocrine, Integumentary Integumentary NCLEX A client with dermatitis has been prescribed a topical corticosteroid for use on the affected areas, and the nurse has reinforced instructions about the use of this medication. Which statement by the client indicates a need for further teaching? I will apply a bandage over the site after applying the medication. Collagenase (Santyl) is prescribed for a client with a severe burn to the hand. The nurse provides instructions to the client regarding the use of the medication. Which statement by the client indicates an accurate understanding of the use of this medication? I will apply the ointment once a day and cover it with a sterile dressing. Isotretinoin (Amnesteem, Clavaris) is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed? Triglyceride level A client is newly admitted to the hospital with cellulitis of the lower leg. The nurse checks the health care provider's prescription sheet to see if which therapy has been prescribed for site care? Warm compresses A client with eczema has a prescription for a topical corticosteroid. The nurse cautions the client to use the product carefully in which area where the risk of systemic absorption is greater? Face The nurse is providing instructions to a client with a diagnosis of scabies regarding the administration of crotamiton (Eurax). Which statement by the client indicates an understanding regarding the application of this medication? "I will massage the medication into the skin from my chin downward and apply a second application in 24 hours, followed by a cleansing bath 48 hours after the second application." The health care provider has prescribed silver sulfadiazine (Silvadene) for the client with a partial-thickness burn, which has cultured positive for gram-negative bacteria. The nurse is reinforcing information to the client about the medication. Which statement made by the client indicates a lack of understanding about the treatments? "The medication will permanently stain my skin." A client is seen in the clinic for complaints of skin itchiness that has been persistent over the past several weeks. Following data collection, it has been determined that the client has scabies. Lindane is prescribed, and the nurse is asked to provide instructions to the client regarding the use of the medication. How should the nurse teach the client to apply the cream? Leave the cream on for 8 to 12 hours and then remove by washing. The nurse is applying a topical glucocorticoid on a client with eczema. The nurse monitors for systemic absorption of the medication if the medication is being applied to which body areas? Axilla Coal tar has been prescribed for a client with a diagnosis of psoriasis, and the nurse reinforces instructions to the client about the medication. Which statement by the client indicates a need for further teaching? This medication can cause systemic effects. Isotretinoin (Accutane) is prescribed for a client to treat severe cystic acne. The nurse tells the client that the length of the usual prescribed course of treatment is which? 15 to 20 weeks Mafenide acetate (Sulfamylon) is prescribed for the client with a burn injury. When applying the medication, the client complains of local discomfort and burning. Which is the most appropriate nursing action? Informing the client this is normal. The burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of injury. The nurse monitors the client knowing that which indicates a systemic effect has occurred? Hyperventilation Collagenase (Santyl) is prescribed for a client with a severe burn to the hand. The nurse is preparing to reinforce instructions to the client and spouse regarding the wound treatment. Which directions should the nurse include in the instructions? Apply once a day and cover the wound with a sterile dressing.