A client with atopic dermatitis is ordered a potent topical corticosteroid to be covered with an occlusive dressing.

To address a potential client problem associated with this treatment, the nurse formulates the nursing diagnosis of Risk for injury.

To complete the nursing diagnosis statement, the nurse should add which "related-to" phrase?

Related to percutaneous absorption of the topical corticosteroid.

Related to vasodilatory effects of the topical corticosteroid.

Related to potential interactions between the topical corticosteroid and other ordered drugs.

Related to topical corticosteroid application to the face, neck, and intertriginous sites.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Percutaneous absorption of topical corticosteroids increases systemic exposure, potentially causing side effects like adrenal suppression, hyperglycemia, and Cushing's syndrome. This is particularly significant when potent corticosteroids are applied to large body areas or under occlusive dressings, enhancing absorption and systemic effects.

Choice B rationale

Topical corticosteroids primarily induce vasoconstriction, not vasodilation, reducing inflammation and redness in skin conditions. Incorrect understanding of their vasodilatory effects may misguide nursing interventions, making it less relevant to the injury risk in atopic dermatitis treatments.

Choice C rationale

Topical corticosteroids have minimal systemic interactions compared to oral or intravenous forms, making drug interaction concerns less pertinent. The risk of significant drug interactions is low unless the medication is systemically absorbed in substantial amounts.

Choice D rationale

Application to face, neck, and intertriginous sites increases the risk of local side effects like skin atrophy, but is not a primary concern for systemic injury risk. These areas have thinner skin, enhancing absorption and risk of local adverse effects, but not necessarily systemic harm.

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Correct Answer is B

Explanation

Choice A rationale

MRI is a non-invasive imaging technique that uses magnetic fields and radio waves to create detailed images of the body's structures. The preparation for an MRI typically involves removing metal objects and sometimes fasting, but it is not similar to a myelogram.

Choice B rationale

A lumbar puncture, like a myelogram, involves inserting a needle into the spinal canal to collect cerebrospinal fluid or inject contrast dye. The preparation for both procedures includes obtaining consent, positioning the patient, and ensuring proper hydration. This similarity is why the nurse should explain that the preparation is akin to a lumbar puncture.

Choice C rationale

Cerebral angiography is an invasive procedure used to visualize blood vessels in the brain, requiring catheter insertion and contrast dye. The preparation is more complex, involving fasting and possible sedation, differing from the simpler preparation for a myelogram.

Choice D rationale

An EEG (electroencephalogram) measures electrical activity in the brain using electrodes placed on the scalp. The preparation is generally non-invasive and less intensive than that for a myelogram, typically involving clean hair and avoiding caffeine.

A. Administering systemic antibiotics as ordered. B. Placing mitts on the client's hands. C. Continuing to administer antibiotics for 21 days as ordered. D. Applying topical antibiotics as ordered.

Correct Answer is A

Explanation

Choice A rationale

Administering systemic antibiotics is essential to treat the underlying bacterial infection causing severe impetigo. This intervention helps reduce infection spread and promotes healing.

Choice B rationale

Placing mitts on the client's hands may prevent scratching, which can worsen impetigo, but it is not the primary treatment for the infection itself. Antibiotic therapy is more crucial.

Choice C rationale

Continuing antibiotics for 21 days is not a standard duration for impetigo treatment. The treatment duration typically ranges from 7 to 10 days, depending on the severity and response to treatment.

Choice D rationale

Topical antibiotics are used for mild cases of impetigo. For severe impetigo, systemic antibiotics are more appropriate and effective in managing the infection.

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Naxlex Comprehensive Predictor Exams

A client is scheduled for a myelogram, and the nurse explains to the client that this is an invasive procedure, which assesses for any lesions in the spinal cord. The nurse should explain that the preparation is similar to which of the following neurologic tests?

Correct Answer is B

Explanation

When caring for a client with severe impetigo, the nurse should include which intervention in the care plan?

Correct Answer is A

Explanation

A nurse is performing a neurologic assessment on the client and notes a positive Romberg test. This test for balance is related to which of the following cranial nerves?

A client has been experiencing an unexplained decline in knee function and has consequently been scheduled for arthrography. The nurse should teach the client about what process?

The nurse is performing the physical examination of a client with a suspected neurologic disorder. In addition to assessing other parts of the body, the nurse should assess for neck rigidity. Which method should help the nurse assess for neck rigidity correctly?

The nurse is assessing the pupils of a client who has had a head injury. What does the nurse recognize as a parasympathetic effect?

The nurse is assessing the client's pupils following a sports injury. Which of the following assessment findings indicates a neurologic concern?

The nurse is assessing a client with toxic epidermal necrolysis (TEN). What assessment data would indicate that the client may be progressing to keratoconjunctivitis? Select all that apply.

The client presents with an exaggeration of the lumbar spine curve. How does the nurse interpret this finding?

A nurse practitioner prescribes a therapeutic bath for a client with an exacerbation of psoriasis. The nurse tells the client to make sure the bath area is well ventilated. Which of the following is the therapeutic bath solution prescribed by the nurse?