A client has been diagnosed with Eczema, and the nurse is discussing treatment options.
Which topical medication can the nurse suggest for sensitive areas where corticosteroids may be less tolerated, such as the face and genital area?
Corticosteroids.
Emollients.
Immunosuppressants.
Calcineurin inhibitors.
The Correct Answer is D
Choice A rationale:
Corticosteroids are not suitable for sensitive areas such as the face and genital area, as they can cause thinning of the skin and other adverse effects.
They are more appropriate for less sensitive areas of the body.
Choice B rationale:
Emollients are moisturizing agents and are not specific medications for eczema.
While they can help with dryness and skin hydration, they may not be sufficient for managing the inflammation and itching associated with eczema on sensitive areas like the face and genital area.
Choice C rationale:
Immunosuppressants are typically reserved for severe cases of eczema and are not the first-line treatment for sensitive areas.
They come with potential side effects and should only be used when other treatments are not effective.
Choice D rationale:
This is the correct answer.
Calcineurin inhibitors, such as tacrolimus and pimecrolimus, are topical medications that can be suggested for sensitive areas like the face and genital area where corticosteroids may be less tolerated.
They are effective in reducing inflammation and itching and are considered a suitable alternative for these areas.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
"Eczema is solely caused by genetic factors." This statement is not accurate.
While genetic factors can play a role in the development of eczema, it is not solely caused by genetics.
Eczema is a complex condition with multiple contributing factors.
Choice B rationale:
"It's primarily due to exposure to allergens and irritants." This statement is accurate.
Eczema, also known as atopic dermatitis, is primarily caused by exposure to allergens and irritants.
These environmental factors can trigger or exacerbate eczema symptoms in individuals who are genetically predisposed to the condition.
Common allergens and irritants include certain foods, dust mites, pet dander, pollen, perfumes, and harsh soaps.
Choice C rationale:
"Eczema is caused by a weakened immune system." This statement is not entirely accurate.
While immune system dysfunction can contribute to eczema, it is not the sole cause.
Eczema is a multifactorial condition, and immune system abnormalities are just one aspect of its pathophysiology.
Choice D rationale:
"Dry skin is the only risk factor for Eczema." This statement is not accurate.
While dry skin can be a risk factor for eczema, it is not the only one.
As mentioned earlier, exposure to allergens and irritants, as well as genetic predisposition, are significant risk factors for eczema.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale:
"Dry, scaly skin patches." Dry, scaly skin patches are a characteristic finding in patients with eczema.
These patches are often itchy and may become inflamed.
Choice B rationale:
"Fever and chills." Fever and chills are not typical symptoms of eczema.
Eczema primarily affects the skin and does not typically cause systemic symptoms like fever.
Choice C rationale:
"Family history of asthma." A family history of asthma is relevant to the assessment of a patient with eczema.
Eczema, asthma, and allergic rhinitis are often part of the atopic triad, and a family history of any of these conditions may increase the risk of developing eczema.
Choice D rationale:
"Red, itchy skin." Red, itchy skin is a hallmark symptom of eczema.
It is a result of the inflammatory response in the skin and is a common complaint among individuals with eczema.
Choice E rationale:
"Increased water retention in the skin." Increased water retention in the skin is not a typical finding in eczema.
In fact, eczema is often associated with dry skin due to impaired skin barrier function.
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