A nurse is caring for a client who has atopic dermatitis and a prescription for triamcinolone ointment. The nurse should assess the client to monitor for which of the following adverse effects?
Increased pigmentation
Localized hair loss
Thinning of the skin
Increased sensitivity to the sun
The Correct Answer is C
Rationale:
A. Increased pigmentation: Triamcinolone, a topical corticosteroid, is not known to cause increased skin pigmentation. In some cases, prolonged use can lead to hypopigmentation, especially in clients with darker skin tones.
B. Localized hair loss: Hair loss is not commonly associated with triamcinolone use. In fact, some corticosteroids may lead to localized hair growth due to their effects on the skin and follicles.
C. Thinning of the skin: Prolonged use of topical corticosteroids like triamcinolone can lead to skin atrophy. This manifests as thinning of the skin, increased fragility, and a higher risk of bruising or tearing with minimal trauma.
D. Increased sensitivity to the sun: Photosensitivity is not a typical side effect of triamcinolone. Sun protection is generally recommended for healthy skin care, but triamcinolone does not specifically increase sun sensitivity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Blurred vision: Ethambutol is known to cause optic neuritis, which can lead to blurred vision, decreased visual acuity, and impaired red-green color discrimination. Clients on ethambutol should be monitored for changes in vision and advised to report any visual disturbances immediately.
B. Tinnitus: Tinnitus is not a typical adverse effect of ethambutol. It is more commonly associated with other anti-tuberculosis drugs such as streptomycin, which can cause ototoxicity, especially affecting the auditory and vestibular systems.
C. Peripheral edema: Peripheral edema is not commonly linked to ethambutol use. It may occur with certain cardiovascular medications or conditions but is not an expected side effect of this antitubercular drug.
D. Bradycardia: Bradycardia is not a recognized adverse effect of ethambutol. This medication primarily affects the eyes rather than the cardiovascular system. Monitoring for vision changes is a higher priority when assessing for side effects.
Correct Answer is ["0.5"]
Explanation
Calculation:
Calculate the total desired dose in mg:
Desired dose (mg) = Weight (kg) x Ordered dose (mg/kg)
Desired dose (mg) = 69.9 kg x 0.75 mg/kg
Desired dose (mg) = 52.425 mg
Determine the volume to administer using the available concentration:
Volume to administer (mL) = Desired dose (mg) / Available concentration (mg/mL)
First, find the concentration in mg/mL:
60 mg / 0.6 mL = 100 mg/mL
Now, calculate the volume:
Volume to administer (mL) = 52.425 mg / 100 mg/mL
Volume to administer (mL) = 0.52425 mL
Round the answer to the nearest tenth:
0.52425 mL rounded to the nearest tenth is 0.5 mL.
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