NCLEX Pharmacology Questions (81-85)

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81. Sodium hypochlorite (Dakin's solution) is prescribed for a client with a leg wound that is draining purulent material and the home health nurse teaches a family member how to perform wound treatments. Which statement, if made by the family member, indicates a need for further teaching?

a) a fresh solution needs to be prepared frequently
b) the solution should not come in contact with normal skin tissue
c) I should rinse the solution off immediately following the irrigation
d) I will soak a sterile dressing with solution and pack it into the wound

82. Dextranomer (Debrisan) is prescribed for a client with a pressure ulcer. The nursing instructor asks the nursing student preparing to perform the treatment about the medication and procedure. Which statement, if made by the student, indicates a need for further research?



a) it is effective in wet wounds only
b) it should be packed lightly into the wound
c) the wound bed must be dried thoroughly before applying the medication
d) maceration of tissue surrounding the wound can occur from the medication


83. The clinic nurse is performing an admission on a client. The nurse notes that the client is taking azelaic acid (Azelex). Because of the medication prescription, the nurse would suspect that the client is being treated for:

a) acne
b) eczema
c) hair loss
d) herpes simplex


84. The physician has prescribed silver sulfadiazine (Silvadene) for the client with a partial-thickness burn, which has cultured positive for gram-negative bacteria, and the nurse provides information to the client about the medication. Which statement made by the client indicates a lack of understanding about the treatments?

a) the medication is antibacterial
b) the medication will help heal the burn
c) the medication will permanently stain my skin
d) the medication should be applied directly to the wound

85. The registered nurse is observing a newly hired nurse perform a dressing change on a client with a leg ulcer. Sutilains (Travase) is being used to treat the ulcer. Which observation by the registered nurse would indicate an inaccurate action by the newly hired nurse when performing the dressing change?

a) the nurse cleans the wound with a sterile saline
b) the nurse places the sutilains in the refrigerator following use
c) the nurse dries the wound and covers the sutilains application with a dry sterile dressing
d) the nurse moistens  the wound with sterile normal saline and then applies the sutilains




NCLEX Pharmacology Questions:
ANSWERS AND RATIONALE

81) D

- Sodium hypochlorite is a solution used for irrigating and cleaning necrotic or purulent wounds. It cannot be used to pack purulent wounds because the solution is inactivated by copious pus. The solution should not come into contact with healing or normal tissue and should be rinsed off immediately following irrigation. The solution loses its potency during storage, so fresh solution should be prepared frequently.

82) C

- Dextranomer is a cleansing rather than a débriding agent that is effective for wet wounds only. Dextranomer is not packed tightly into the wound because maceration of surrounding tissue may result.

83) A

- Azelaic acid is a topical medication used to treat mild to moderate acne. The acid appears to work by suppressing the growth of Propionibacterium acnes and by decreasing the proliferation of keratinocytes. Options B, C, and D are incorrect.

84) C

- Silver sulfadiazine (Silvadene) is an antibacterial that has a broad spectrum of activity against gram-negative bacteria, gram-positive bacteria, and yeast. It is applied directly to the wound to assist in healing. It does not stain the skin.

85) C

- The wound should be cleansed with a sterile solution before treatment. The nurse then thoroughly moistens the wound with normal saline or sterile water, applies a thin film of sutilains extending ¼ to ½ inch beyond the area to be débrided, and then applies a loose thin dressing. The ointment should be refrigerated.



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NCLEX Pharmacology Questions (1-5)


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NCLEX Pharmacology Questions (86-90)