A client with eczema receives a prescription for betamethasone cream. Which client statement indicates to the nurse that further teaching is needed?

Use the cream only on intact skin.

Apply the cream to the area for 2 weeks.

Cover the site with an occlusive dressing.

Limit exposure to direct sunlight.

Answer and Explanation

The Correct Answer is C

A) Use the cream only on intact skin: This is correct advice as applying betamethasone cream to broken or infected skin can exacerbate the condition or lead to systemic absorption and side effects. Ensuring the cream is applied only to intact skin helps prevent complications.

B) Apply the cream to the area for 2 weeks: This instruction is appropriate depending on the severity of the eczema and the prescribing healthcare provider’s guidance. Typically, topical corticosteroids like betamethasone are used for a prescribed duration, often not exceeding 2 weeks to avoid potential side effects.

C) Cover the site with an occlusive dressing: This indicates a need for further teaching. Occlusive dressings are generally not recommended with topical corticosteroids unless specifically instructed by a healthcare provider. They can increase the absorption of the medication, potentially leading to more side effects, such as thinning of the skin.

D) Limit exposure to direct sunlight: This is good advice because corticosteroids can increase skin sensitivity to sunlight, leading to potential sunburn or other skin issues. Clients should be advised to protect their skin from excessive sun exposure while using such medications.

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Correct Answer is B

Explanation

A. Wear padding to protect from bruising if a fall occurs:
While safety precautions are important for any physical activity, the specific concern with oxybutynin is not related to a higher risk of falls or bruising. The primary issue is managing side effects that might affect hydration and body temperature.

B. Take measures to avoid dehydration and over-heating:
Oxybutynin can cause dry mouth and decreased sweating, which can increase the risk of dehydration and overheating, especially during intense physical activities like running. Emphasizing hydration and measures to avoid overheating is crucial to prevent complications.

C. Avoid crowds to help prevent acquiring infections:
Oxybutynin does not typically affect the immune system or increase the risk of infections. The client’s concern should focus on managing side effects related to exercise and hydration, rather than avoiding crowds.

D. Keep skin and eyes covered to protect from sun injury:
Oxybutynin does not have a direct effect on sun sensitivity or increase the risk of sunburn. While sun protection is generally important for outdoor activities, it is not a specific concern related to the use of oxybutynin.

A. No known allergies B. Peripheral IV in large vein C. Potassium 4.4 mEq/L (4.4 mmol/L) D. Used for prophylaxis E. Blood urea nitrogen 17 mg/dL (6.07 mmol/L) F. Dosage in safe range

Correct Answer is ["A","B","D","F"]

Explanation

A. No known allergies:
Having no known allergies is a significant factor in determining the safety of administering vancomycin, as it reduces the risk of an allergic reaction. Vancomycin can cause allergic reactions or hypersensitivity, so it’s important to ensure the client is not allergic to this medication.

B. Peripheral IV in large vein:
Vancomycin should be administered through a large vein because it can be irritating to smaller veins and potentially cause thrombophlebitis or vein damage. Using a large vein helps to minimize these risks and ensure safe administration.

C. Potassium 4.4 mEq/L (4.4 mmol/L):
While potassium levels are important to monitor, they are not directly related to the safety of administering vancomycin. Vancomycin does not have a direct impact on potassium levels, so this finding does not specifically indicate the safety of vancomycin administration.

D. Used for prophylaxis:
Vancomycin is often used as prophylaxis in certain surgical procedures to prevent infection, especially in cases where there is a high risk of methicillin-resistant Staphylococcus aureus (MRSA) infection. The use of vancomycin for prophylaxis is a common practice and indicates it is being administered for an appropriate reason.

E. Blood urea nitrogen 17 mg/dL (6.07 mmol/L):
A blood urea nitrogen (BUN) level of 17 mg/dL is slightly elevated but not necessarily a contraindication for vancomycin administration. However, vancomycin can impact kidney function, so it is important to monitor renal function but not the sole factor in determining safety.

F. Dosage in safe range:
Ensuring the dosage of vancomycin is within the safe range is crucial for preventing toxicity and achieving therapeutic efficacy. This is an essential consideration when administering the medication to avoid adverse effects and ensure effective treatment.

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A client with eczema receives a prescription for betamethasone cream. Which client statement indicates to the nurse that further teaching is needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Correct Answer is ["A","B","D","F"]

Explanation

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