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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Correct Answer is C

Explanation

Choice A rationale

Cranial nerve VII (Facial nerve) controls muscles of facial expression and functions in taste sensations from the anterior two-thirds of the tongue, not balance.

Choice B rationale

Cranial nerve VI (Abducens nerve) controls lateral eye movement and has no role in balance or proprioception.

Choice C rationale

Cranial nerve VIII (Vestibulocochlear nerve) is responsible for hearing and balance. A positive Romberg test indicates issues with proprioception or vestibular function, which is directly linked to this nerve.

Choice D rationale

Cranial nerve IX (Glossopharyngeal nerve) involves taste sensation from the posterior third of the tongue and some swallowing functions, not balance.

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

A nurse is performing a neurologic assessment on the client and notes a positive Romberg test. This test for balance is related to which of the following cranial nerves?

Correct Answer is 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

A client has been diagnosed with damage to Broca's area of the left frontal lobe. To document the extent of damage, the nurse would assess the client's:

A client is being treated for prolonged diarrhea. Which foods should the nurse encourage the client to consume?

The nurse is assessing the fingernails of a client at the clinic. The nurse observes pitting on the surface of the nail. What disorder is this finding indicative of?

What is the function of cerebrospinal fluid (CSF)?

A nurse's assessment of a teenage client reveals that their shoulders are not level and that they have one prominent scapula that is accentuated by bending forward. The nurse should expect to read about what health problem in the client's electronic health record?

A client who has suffered a stroke is unable to maintain respiration and is intubated and placed on mechanical ventilator support. What portion of the brain is most likely responsible for the inability to breathe?

The nurse is caring for a client who sustained a moderate head injury following a bicycle accident. The nurse's most recent assessment reveals that the client's respiratory effort has increased. What is the nurse's most appropriate action?

A nurse's assessment of a teenage client reveals that their shoulders are not level and that they have one prominent scapula is accentuated by bending forward. The nurse should expect to read about what health problem in the client's electronic health record?