A topical corticosteroid is prescribed by the primary health care provider for a child with contact dermatitis. Which instruction should the nurse give the parent about applying the cream?

Avoid cleansing the area before application of the cream.

Apply a thin layer of cream and rub it into the area thoroughly.

Apply the cream over the entire body.

Apply a thick layer of cream to affected areas only.

Answer and Explanation

The Correct Answer is B

A.   The area should be cleansed gently before applying the cream to remove any irritants and allow for better absorption of the medication. Proper cleansing can help enhance the effectiveness of the corticosteroid.
B.   Topical corticosteroids should be applied in a thin layer to the affected area and gently rubbed in. Applying too much can increase the risk of side effects, and a thin application ensures better absorption without overwhelming the skin.
C.   The corticosteroid should be applied only to the affected areas of the skin, not the entire body. Overuse can lead to systemic absorption and potential side effects, particularly in children, whose skin is more permeable.
D.   While it is important to cover the affected areas, applying a thick layer is not recommended. A thin layer is usually sufficient and minimizes the risk of side effects from excessive corticosteroid use.

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Correct Answer is A

Explanation

A. The appropriate method for tick removal involves using fine-tipped tweezers to grasp the tick as close to the skin's surface as possible and pulling upward with steady, even pressure. This minimizes the risk of the tick's mouthparts breaking off and remaining in the skin.
B. Using bare fingers can be unsanitary and may cause the tick to release more saliva, potentially increasing the risk of disease transmission. Squeezing the tick can also lead to the release of harmful pathogens into the bloodstream.
C. DEET is an insect repellent that is used to prevent tick bites but should not be applied to a tick that is already embedded. Applying repellent will not assist in tick removal and may cause irritation to the skin.
D. While some people believe that applying mineral oil can cause a tick to detach, this method is not recommended. It may irritate the tick and could increase the likelihood of the tick regurgitating pathogens into the skin, raising the risk of infection.

A. Negative calcium balance B. Loss of estrogen C. Dowager's hump D. Bone fractures

Correct Answer is D

Explanation

A. While osteoporosis is characterized by a negative calcium balance, this is not a major complication itself. It's a contributing factor to the condition.
B. Loss of estrogen is a risk factor for osteoporosis, especially in postmenopausal women. However, it's not a complication of the disease itself.
C. Dowager's hump, or kyphosis, is a common symptom of osteoporosis, but it's not a major complication. It's a visible manifestation of the disease.
D. Bone fractures are the major complication of osteoporosis. The weakened bones become more susceptible to fractures, especially in areas like the hip, spine, and wrist.

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A topical corticosteroid is prescribed by the primary health care provider for a child with contact dermatitis. Which instruction should the nurse give the parent about applying the cream?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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