NCLEX Integumentary Questions 16-20

Begin answering NCLEX Integumentary Questions . . .



16. The nurse has provided instructions to a client regarding the use of tretinoin (Retin-A). Which statement, if made by the client, indicates the need for further instructions?

a) I will apply a very thin layer to the skin
b) optimal results will be seen after 6 weeks
c) I will wash my hands thoroughly after applying the medication
d) I will cleanse the skin thoroughly before applying the medication

17. Isotretinoin (Accutane) is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed?

a) platelet count
b) triglyceride level
c) complete blood count
d) white blood cell count



18. A client with severe acne is seen in the clinic and the physician prescribed isotretinoin (Accutane). The nurse reviews the client's medication record and would contact the physician if the client is taking which medication?

a) vitamin A
b) digoxin (Lanoxin)
c) furosemide (Lasix)
d) phenytoin ( Dilantin)

19. A topical corticosteroid is prescribed for the client with dermatitis. The nurse provides instructions to the client regarding the use of the medication. Which of the following, if stated by the client, would indicate a need for further instructions?

a) I need to apply the medication in a thin film
b) I should gently rub the medication into the skin
c) the medication will help relieve the inflammation and itching
d) I should place a bandage over the site after applying the medication

20. The nurse is applying a topical corticosteroid to a client with eczema. The nurse would be concerned about the potential for increased systemic absorption of the medication if the medication were being applied to which of the following body areas?

a) back
b) axilla
c) soles of the feet
d) palms of the hands





NCLEX Integumentary Questions
ANSWERS AND RATIONALE

16) A

- Tretinoin is applied liberally to the skin. The hands are washed thoroughly immediately after applying. Therapeutic results should be seen after 2 to 3 weeks but may not be optimal until after 6 weeks. The skin needs to be cleansed thoroughly before applying the medication.

17) B

- Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be measured before treatment and periodically thereafter until the effect on the triglycerides has been evaluated. Options A, C, and D do not need to be monitored specifically during this treatment.

18) A

- Isotretinoin is a metabolite of vitamin A and can produce generalized intensification of isotretinoin toxicity. Because of the potential for increased toxicity, vitamin A supplements should be discontinued before isotretinoin therapy. Options B, C, and D are not contraindicated with the use of isotretinoin.

19) D

- Clients should be advised not to use occlusive dressings (bandages or plastic wraps) to cover the affected site following the application of the topical corticosteroid, unless the physician specifically prescribes wound coverage. Options A, B, and C are accurate statements related to the use of this medication.

20) B

- Topical corticosteroids can be absorbed into the systemic circulation. Absorption is higher from regions where the skin is especially permeable (scalp, axilla, face, eyelids, neck, perineum, genitalia), and lower from regions where permeability is poor (back, palms, soles).


Related Topics:

• NCLEX Integumentary Questions (21-25)

Or go back toNCLEX Integumentary Questions (1-5)

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