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. This is a significant safety risk. Scatter rugs can easily be a tripping hazard, especially for individuals with decreased vision. They can slip or shift, leading to falls, which are a major concern for older adults.
B. Using a microwave is often a better option for older adults, as it reduces the need to handle pots and pans on the stovetop, which can be more hazardous for those with vision impairments. It allows for safer meal preparation.

C. Handrails provide support and stability, helping to prevent falls, especially in a room like the bathroom, where wet surfaces can create hazards. This is a positive aspect of the home environment.D
D. While placing electrical cords along the walls can minimize tripping hazards, it can still pose a risk if they are not secured properly or if they cross pathways in a way that is not visible to someone with decreased vision. However, this is generally less of a risk compared to scatter rugs.

A. Cephalosporin B. Sulfonamide C. Penicillin D. Fluroquinolone

Correct Answer is C

Explanation

A. Cephalosporins are a class of antibiotics that can, in some cases, cause liver enzyme elevations and hepatotoxicity. While not all cephalosporins are associated with significant liver toxicity, there have been reports of liver dysfunction with some members of this class.
B. Sulfonamides can also cause hepatotoxicity, particularly in certain individuals. They are known to occasionally lead to liver enzyme elevations and even more severe liver damage in susceptible patients.
C. Penicillins are generally considered safe regarding hepatotoxicity; however, there can be rare instances of liver enzyme elevation associated with some penicillin derivatives, particularly in cases of prolonged use or in patients with existing liver disease. Nonetheless, they are not commonly associated with significant hepatotoxicity.
D. Fluoroquinolones can cause liver toxicity, although it is relatively rare. Some fluoroquinolones have been associated with elevated liver enzymes and other hepatic issues.

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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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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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