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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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Perform a bladder scan:
This intervention is useful for assessing urinary retention or post-void residual volumes but is not specifically related to monitoring the adverse effects of tamsulosin.

B. Obtain daily weights:
Daily weights are typically used to monitor fluid balance and signs of fluid retention, not specifically for adverse reactions to tamsulosin.

C. Assess urine output:
While monitoring urine output can be important in managing BPH, it is not specifically targeted to identify adverse reactions to tamsulosin.

D. Monitor blood pressure:
Tamsulosin, an alpha-1 blocker, can cause orthostatic hypotension (a drop in blood pressure when standing up) and dizziness. Monitoring blood pressure helps detect this potential adverse effect, ensuring the client is not experiencing significant drops in blood pressure.

A. Notify the healthcare provider of lethargy. B. Decrease cigarette use to a pack per day. C. Monitor for any signs of sexual dysfunction. D. Take the medication an hour after antacids.

Correct Answer is B

Explanation

A. Notify the healthcare provider of lethargy:
Cimetidine can cause side effects such as confusion and lethargy, especially in the elderly or those with renal impairment. Reporting these symptoms to the healthcare provider is important for proper management and potential adjustment of treatment.

B. Decrease cigarette use to a pack per day:
This statement indicates a misunderstanding of the impact of smoking on peptic ulcer disease. Smoking can exacerbate ulcer symptoms and interfere with healing. The nurse should instruct the client to ideally quit smoking altogether rather than just reducing the amount.

C. Monitor for any signs of sexual dysfunction:
Cimetidine can cause sexual dysfunction, including decreased libido and erectile dysfunction. The client should be aware of this potential side effect and report any such issues to their healthcare provider for further evaluation and management.

D. Take the medication an hour after antacids:
Cimetidine should not be taken simultaneously with antacids as this can interfere with its absorption. Taking cimetidine an hour after antacids is a correct approach to avoid interaction and ensure effective medication action.

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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

A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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