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 A,B,C,D
No explanation
Correct Answer is B
Explanation
A. This mechanism is more relevant in conditions like pancreatitis or tissue injury involving enzyme release, not specifically in traumatic inflammation.
B. Inflammation leads to increased vascular permeability and fluid accumulation (edema), which can compress nerve endings and cause pain.
C. Lysis refers to the breakdown of cells, which may release heat, but this is not typically a significant factor in localized inflammation from trauma.
D. Acidic waste accumulation occurs in cell death processes like necrosis, but it's not the primary mechanism causing pain in traumatic inflammation.
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