A client with atopic dermatitis is ordered a potent topical corticosteroid to be covered with an occlusive dressing.

To address a potential client problem associated with this treatment, the nurse formulates the nursing diagnosis of Risk for injury.

To complete the nursing diagnosis statement, the nurse should add which "related-to" phrase?

Related to percutaneous absorption of the topical corticosteroid.

Related to vasodilatory effects of the topical corticosteroid.

Related to potential interactions between the topical corticosteroid and other ordered drugs.

Related to topical corticosteroid application to the face, neck, and intertriginous sites.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Percutaneous absorption of topical corticosteroids increases systemic exposure, potentially causing side effects like adrenal suppression, hyperglycemia, and Cushing's syndrome. This is particularly significant when potent corticosteroids are applied to large body areas or under occlusive dressings, enhancing absorption and systemic effects.

Choice B rationale

Topical corticosteroids primarily induce vasoconstriction, not vasodilation, reducing inflammation and redness in skin conditions. Incorrect understanding of their vasodilatory effects may misguide nursing interventions, making it less relevant to the injury risk in atopic dermatitis treatments.

Choice C rationale

Topical corticosteroids have minimal systemic interactions compared to oral or intravenous forms, making drug interaction concerns less pertinent. The risk of significant drug interactions is low unless the medication is systemically absorbed in substantial amounts.

Choice D rationale

Application to face, neck, and intertriginous sites increases the risk of local side effects like skin atrophy, but is not a primary concern for systemic injury risk. These areas have thinner skin, enhancing absorption and risk of local adverse effects, but not necessarily systemic harm.

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Free Nursing Study Resources

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Scales represent the accumulation of dead skin cells that flake off, a common secondary lesion in eczema resulting from the chronic inflammation and rapid skin cell turnover.

Choice B rationale

Erosion occurs when the superficial layer of skin is lost, typically due to scratching or friction in eczema, exposing the underlying epidermis and sometimes leading to infection.

Choice C rationale

Crusts form when serum, blood, or purulent exudate dries on the skin surface, often seen in eczema as a result of weeping lesions and subsequent drying.

Choice D rationale

Ulcers are deeper lesions extending into the dermis or subcutaneous tissue and are not typically associated with eczema. Eczema usually affects the epidermis, causing secondary lesions like scales, erosion, and crusts rather than deep tissue ulcers.

A. Fast for at least 8 hours. B. Completion of the bowel cleansing regimen. C. Empty bladder. D. No allergy to penicillins.

Correct Answer is C

Explanation

Choice A rationale

Fasting for at least 8 hours is usually required for certain diagnostic tests that involve anesthesia or contrast media, but it is not necessary for a bone scan. A bone scan typically involves the injection of a radioactive tracer and does not require fasting.

Choice B rationale

Completion of a bowel cleansing regimen is necessary for certain gastrointestinal procedures such as colonoscopy, but it is not relevant for a bone scan. A bone scan focuses on detecting bone abnormalities and does not involve the digestive system.

Choice C rationale

Emptying the bladder is important before a bone scan to ensure clear imaging of the pelvic bones. A full bladder can obscure the view and interfere with the accuracy of the scan. Ensuring the bladder is empty helps in obtaining better diagnostic images.

Choice D rationale

No allergy to penicillins is crucial information for procedures involving antibiotics, especially for patients with a history of allergic reactions. However, it is not pertinent to a bone scan, which uses a radioactive tracer rather than antibiotics.

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Naxlex Comprehensive Predictor Exams

Which secondary skin lesions are associated with eczema?

Correct Answer is ["A","B","C"]

Explanation

A client is scheduled for a bone scan to rule out osteosarcoma of the pelvic bones. Which client status would be most important for the nurse to verify before the client's scan?

Correct Answer is C

Explanation

The nurse documenting an acute open wound should include which characteristics? Select all that apply.

The nurse applies a moisture-retentive dressing to a client's wound. The nurse understands that the main advantage of this dressing, rather than a wet dressing, is its ability to:

A client is admitted to an acute care facility with a suspected dysfunction of the lower brain stem. The nurse should monitor this client closely for:

What is the function of cerebrospinal fluid (CSF)?

Which term describes the fibrous connective tissues that cover the brain and spinal cord?

A clinic nurse is caring for a client with a history of osteoporosis. What diagnostic test will best allow the care team to assess the client's risk of fracture?

Pressure ulcers are caused by:

The nurse is performing the physical examination of a client with a suspected neurologic disorder. In addition to assessing other parts of the body, the nurse should assess for neck rigidity. Which method should help the nurse assess for neck rigidity correctly?