Which statement made by a parent indicates an understanding of the topical application of medications for a skin condition?
"I apply the medication after I give my child a bath.”.
"I rub the ointment in a circular motion over the rash.”.
"I increased the amount of cream because the rash was not improving.”.
"I use powder and cornstarch to keep the skin dry.”.
The Correct Answer is A
Choice A rationale
Applying medication after a bath is correct because the skin is hydrated and warm, which enhances the absorption of the topical agent. The open pores and softened stratum corneum allow for better penetration of the medication, maximizing its therapeutic effect on the underlying skin condition.
Choice B rationale
Rubbing the ointment in a circular motion can cause mechanical irritation and friction to the compromised skin, which can worsen the rash. The correct technique is to gently smooth the medication over the affected area in a thin, even layer.
Choice C rationale
Increasing the amount of cream without a prescription can lead to systemic absorption and potential adverse effects, especially with corticosteroid creams. The dosage is carefully prescribed to balance therapeutic effects with minimal risk of side effects. Over-application can also cause skin thinning.
Choice D rationale
Using powder and cornstarch is not recommended for skin conditions, as these substances can trap moisture and debris, creating a medium for bacterial or fungal growth. This can exacerbate the underlying skin condition and increase the risk of secondary infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
African Americans have a disproportionately high prevalence and severity of hypertension compared to other racial groups. This is due to a complex interplay of genetic predispositions, socioeconomic factors, and systemic health disparities. Targeting this community through culturally competent outreach at churches is highly effective.
Choice B rationale
While some Asian populations have a genetic predisposition to certain health conditions, hypertension prevalence is not as markedly high in this group as in African Americans. Community outreach for hypertension screening should focus on populations with the highest risk to maximize public health impact.
Choice C rationale
High school sports camps primarily target a young, generally healthy population. While health education is always valuable, the prevalence of hypertension is much lower in this demographic than in older adult populations. Screening resources would be better allocated to older, higher-risk groups.
Choice D rationale
Women's health clinics serve a broad population, but hypertension affects both genders. While important, this venue does not specifically target the population with the highest prevalence and risk, which data indicates are African-American communities, especially older adults.
Correct Answer is B
Explanation
Choice A rationale
Ambulation is contraindicated for a client with a confirmed deep vein thrombosis due to the significant risk of dislodging the thrombus. This could lead to a pulmonary embolism, a life-threatening complication. The nurse must ensure the client remains on bed rest to prevent this from occurring, thus this is not a delegated task for the AP.
Choice B rationale
Applying a warm moist pack is a safe and effective comfort measure for a client with a deep vein thrombosis. The warmth helps to promote vasodilation, which can reduce pain and inflammation associated with the DVT. This task is within the scope of practice for an assistive personnel to perform under the direct supervision of the nurse.
Choice C rationale
Massaging the leg of a client with a deep vein thrombosis is strictly contraindicated. This action can physically dislodge the thrombus from the vein wall, causing it to travel through the bloodstream. If the thrombus reaches the lungs, it becomes a pulmonary embolism, which is a medical emergency.
Choice D rationale
Applying an ice pack is not an appropriate comfort measure for a client with a deep vein thrombosis. Cold can cause vasoconstriction, which may worsen the pain and swelling associated with the DVT. It could also potentially increase the risk of thrombus formation by slowing blood flow.
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