Question 1

A patient is receiving treatment with minoxidil (Rogaine)for thinning hair.What important information should the nurse give the patient in regard to this treatment?

Accepted Answer

A) The product is applied once daily, in the morning. 
B) Systemic absorption of topically applied minoxidil is rare. 
C) Results may be seen as soon as 2 weeks after beginning therapy. 
D) Systemic absorption may cause tachycardia, fluid retention, and weight gain. 
A) The product is applied once daily, in the morning. 
B) Systemic absorption of topically applied minoxidil is rare. 
C) Results may be seen as soon as 2 weeks after beginning therapy. 
D) Systemic absorption may cause tachycardia, fluid retention, and weight gain. D

Question 2

A woman has suffered a second-degree burn on her arm and hand while cooking breakfast.After examination in the emergency department,silver sulfadiazine (Flamazene)is recommended for her burns.What important information should the nurse give the patient in regard to the application of this cream?

Accepted Answer

A) The area should not be cleansed before reapplication. 
B) The cream should be massaged completely into the wound. 
C) A thick layer of the cream should be applied over the burned area, and the area should be left open. 
D) A thin layer of the cream should be applied with a sterile gloved hand to debrided, clean areas. 
A) The area should not be cleansed before reapplication. 
B) The cream should be massaged completely into the wound. 
C) A thick layer of the cream should be applied over the burned area, and the area should be left open. 
D) A thin layer of the cream should be applied with a sterile gloved hand to debrided, clean areas. D

Question 3

A patient is to receive a topical corticosteroid for the treatment of psoriasis.Which form is generally the most penetrating when applied to the skin?

Accepted Answer

A) Gel 
B) Lotion 
C) Cream 
D) Ointment 
A) Gel 
B) Lotion 
C) Cream 
D) Ointment D

Question 4

Which is a true statement regarding the dermis layer of the skin?

Accepted Answer

A) The dermis does not have a direct blood supply. 
B) It forms the protective layer of the entire body. 
C) Outer dead cells contain a water-repellent protein known as keratin. 
D) It provides extra support with blood vessels, with nerves, and with lymphatic, elastic, and connective tissues. 
A) The dermis does not have a direct blood supply. 
B) It forms the protective layer of the entire body. 
C) Outer dead cells contain a water-repellent protein known as keratin. 
D) It provides extra support with blood vessels, with nerves, and with lymphatic, elastic, and connective tissues.

Question 5

A father calls the clinic because his son has head lice.He reports to the nurse that he has used "that special stuff you spray on to the hair,but nothing is happening." What should be the nurse's first recommendation?

Accepted Answer

A) Get a prescription for a second product, malathion. 
B) Add a lotion product that remains on the scalp for 8 hours. 
C) Use a nit comb to remove nits from the hair shafts. 
D) Comb through the hair with mineral oil to loosen the lice from the hair shafts. 
A) Get a prescription for a second product, malathion. 
B) Add a lotion product that remains on the scalp for 8 hours. 
C) Use a nit comb to remove nits from the hair shafts. 
D) Comb through the hair with mineral oil to loosen the lice from the hair shafts.

Question 6

A teenage boy is taking tretinoin (Rejuva-A)for his acne.What important information should the nurse give him?

Accepted Answer

A) He should avoid foods heavy in salt and oils. 
B) The drug may cause increased redness of the skin. 
C) He should use abrasive cleansers to remove old skin layers. 
D) Extremes of weather and sunlight should not bother him during therapy. 
A) He should avoid foods heavy in salt and oils. 
B) The drug may cause increased redness of the skin. 
C) He should use abrasive cleansers to remove old skin layers. 
D) Extremes of weather and sunlight should not bother him during therapy.

Question 7

Which medication is likely to be prescribed for a child with impetigo?

Accepted Answer

A) minoxidil (Loniten) 
B) nystatin (Flagylstatin) 
C) acyclovir (Zovirax) 
D) mupirocin (Bactroban) 
A) minoxidil (Loniten) 
B) nystatin (Flagylstatin) 
C) acyclovir (Zovirax) 
D) mupirocin (Bactroban)

Question 8

A 55-year-old obese patient was diagnosed with candidiasis in the skin folds under her breasts.At a follow-up visit 2 months after diagnosis,she reports that the candidiasis has returned.She tells the nurse that she applied the medicine for a week and then stopped because the itching went away and the cream was messy.What is the best information she can give this patient in regard to the patient's fungal infection?

Accepted Answer

A) Fungal infections often require prolonged therapy. 
B) Fungal infections usually subside in a week or so; the patient must have caught a new infection. 
C) If the cream is messy, the patient should apply a dressing. 
D) This infection will probably never be cured. 
A) Fungal infections often require prolonged therapy. 
B) Fungal infections usually subside in a week or so; the patient must have caught a new infection. 
C) If the cream is messy, the patient should apply a dressing. 
D) This infection will probably never be cured.

Question 9

Which medication is not to be used during pregnancy?

Accepted Answer

A) clindamycin 
B) isotretinoin 
C) ciclopirox 
D) clotrimazole 
A) clindamycin 
B) isotretinoin 
C) ciclopirox 
D) clotrimazole

Question 10

Which are true statements regarding topical dermatological drugs? Select all that apply.

Accepted Answer

A) Lotion should be applied liberally to affected sites. 
B) Lotion should be applied sparingly to affected areas. 
C) Affected areas should be covered with occlusive dressings. 
D) Exposure to sunlight should be avoided by using a sunscreen. 
E) Exposure to sunlight helps the skin by drying the affected areas.
F)The use of tanning beds should be avoided.
G)Treatment should be discontinued when skin condition improves. 
A) Lotion should be applied liberally to affected sites. 
B) Lotion should be applied sparingly to affected areas. 
C) Affected areas should be covered with occlusive dressings. 
D) Exposure to sunlight should be avoided by using a sunscreen. 
E) Exposure to sunlight helps the skin by drying the affected areas.
F)The use of tanning beds should be avoided.
G)Treatment should be discontinued when skin condition improves.

Exam 56: Dermatological Drugs

A patient is receiving treatment with minoxidil (Rogaine)for thinning hair.What important information should the nurse give the patient in regard to this treatment?

A woman has suffered a second-degree burn on her arm and hand while cooking breakfast.After examination in the emergency department,silver sulfadiazine (Flamazene)is recommended for her burns.What important information should the nurse give the patient in regard to the application of this cream?

A patient is to receive a topical corticosteroid for the treatment of psoriasis.Which form is generally the most penetrating when applied to the skin?

Which is a true statement regarding the dermis layer of the skin?

A father calls the clinic because his son has head lice.He reports to the nurse that he has used "that special stuff you spray on to the hair,but nothing is happening." What should be the nurse's first recommendation?

A teenage boy is taking tretinoin (Rejuva-A)for his acne.What important information should the nurse give him?

Which medication is likely to be prescribed for a child with impetigo?

Which medication is not to be used during pregnancy?

Which are true statements regarding topical dermatological drugs? Select all that apply.

Nursing Practice in Canada and Drug Therapy

Pharmacological Principles

Legal and Ethical Considerations

Patient Focused Considerations

Gene Therapy and Pharmacogenomics

Medication Errors: Preventing and Responding

Patient Education and Drug Therapy

Over-the-Counter Drugs and Natural Health Products

Vitamins and Minerals

Principles of Drug Administration

Analgesic Drugs

General and Local Anaesthetics

Central Nervous System Depressants and Muscle Relaxants

Central Nervous System Stimulants and Related Drugs

Antiepileptic Drugs

Antiparkinsonian Drugs

Psychotherapeutic Drugs

Substance Misuse

Adrenergic Drugs

Adrenergic-Blocking Drugs

Cholinergic Drugs

Cholinergic-Blocking Drugs

Antihypertensive Drugs

Antianginal Drugs

Heart Failure Drugs

Antidysrhythmic Drugs

Coagulation Modifier Drugs

Antilipemic Drugs

Diuretic Drugs

Fluids and Electrolytes

Pituitary Drugs

Thyroid and Antithyroid Drugs

Antidiabetic Drugs

Adrenal Drugs

Women’s Health Drugs

Men’s Health Drugs

Antihistamines,Decongestants,Antitussives,and Expectorants

Respiratory Drugs

Acid-Controlling Drugs

Antidiarrheal Drugs and Laxatives

Antiemetic and Anti-nausea Drugs

Nutritional Supplements

Antibiotics, Part 1: Sulfonamides, Penicillins, Cephalosporins, Macrolides, and Tetracyclines

Antibiotics Part 2: Aminoglycosides, Fluoroquinolones, and Other Drugs

Antiviral Drugs

Antitubercular Drugs

Antifungal Drugs

Antimalarial, Antiprotozoal, and Anthelmintic Drugs

Anti-Inflammatory and Antigout Drugs

Immunosuppressant Drugs

Immunizing Drugs and Pandemic Preparedness

Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs

Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific and Miscellaneous Drugs

Biological Response–Modifying Drugs

Anemia Drugs

Ophthalmic Drugs

Otic Drugs

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