David, 22, has been using a high-potency topical corticosteroid for his atopic dermatitis for several weeks. He has a past medical history of asthma and mild seasonal allergies. What should the nurse assess for as an adverse effect?
Dry and scaling skin in the treated area.
Increased frequency of asthma attacks.
Reddish-brown discoloration of the skin
Thinning of the treated skin.
The Correct Answer is D
A. Dry and scaling skin may occur as a side effect of topical corticosteroids, but thinning of the skin is a more concerning adverse effect.
B. While systemic corticosteroids can exacerbate asthma, topical corticosteroids are less likely to worsen asthma symptoms unless used excessively on the face or in high quantities.
C. Reddish-brown discoloration of the skin (hyperpigmentation) is a potential adverse effect of topical corticosteroids but is less common compared to skin thinning.
D. Thinning of the skin (skin atrophy) is a common adverse effect of high-potency topical corticosteroids, especially with prolonged use. This is of particular concern for David given his asthma history, as it may increase the risk of systemic absorption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administering antipsychotic medication is not indicated for managing acute exacerbations of multiple sclerosis.
B. Plasmapheresis, also known as plasma exchange, is a treatment option for severe, steroid-resistant exacerbations of multiple sclerosis. It involves removing and replacing the plasma to remove circulating antibodies that may contribute to the exacerbation.
C. Starting an exercise program may be beneficial for overall health in multiple sclerosis but is not a priority intervention during an acute exacerbation.
D. Applying hot compresses to affected limbs may provide symptomatic relief but is not a priority intervention for managing acute exacerbations of multiple sclerosis.
Correct Answer is B
Explanation
A. This position can lead to increased intracranial pressure (ICP) and is not recommended for patients with head injuries.
B. Elevating the head of the bed helps promote venous drainage from the brain, reducing intracranial pressure.
C. This position is not typically used for patients with head injuries, as it may not provide optimal cerebral perfusion.
D. This position can compromise venous drainage from the brain and is not recommended for patients with head injuries.
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