A client with eczema receives a prescription for betamethasone cream. Which client statement indicates to the nurse that further teaching is needed?

Use the cream only on intact skin.

Apply the cream to the area for 2 weeks.

Cover the site with an occlusive dressing.

Limit exposure to direct sunlight.

Answer and Explanation

The Correct Answer is C

A) Use the cream only on intact skin: This is correct advice as applying betamethasone cream to broken or infected skin can exacerbate the condition or lead to systemic absorption and side effects. Ensuring the cream is applied only to intact skin helps prevent complications.

B) Apply the cream to the area for 2 weeks: This instruction is appropriate depending on the severity of the eczema and the prescribing healthcare provider’s guidance. Typically, topical corticosteroids like betamethasone are used for a prescribed duration, often not exceeding 2 weeks to avoid potential side effects.

C) Cover the site with an occlusive dressing: This indicates a need for further teaching. Occlusive dressings are generally not recommended with topical corticosteroids unless specifically instructed by a healthcare provider. They can increase the absorption of the medication, potentially leading to more side effects, such as thinning of the skin.

D) Limit exposure to direct sunlight: This is good advice because corticosteroids can increase skin sensitivity to sunlight, leading to potential sunburn or other skin issues. Clients should be advised to protect their skin from excessive sun exposure while using such medications.

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Correct Answer is B

Explanation

A. Monitor the client's serum electrolytes:
Amlodipine, a calcium channel blocker, primarily affects blood pressure and not directly electrolyte levels. Monitoring electrolytes is more relevant for medications that affect electrolyte balance, such as diuretics or certain antihypertensives.

B. Measure the client's blood pressure:
Amlodipine is used to treat hypertension and angina by relaxing blood vessels. The primary measure of its effectiveness is the reduction in blood pressure. Therefore, measuring the client’s blood pressure is crucial to assess whether the medication is effectively managing hypertension.

C. Review the client's intake and output:
While monitoring intake and output is important for assessing fluid balance and kidney function, it is not the primary method for evaluating the effectiveness of amlodipine in controlling blood pressure.

D. Note the client's serum calcium levels:
Amlodipine affects calcium channels but does not directly influence serum calcium levels significantly. Serum calcium levels are not used to assess the effectiveness of amlodipine in treating hypertension or angina.

A. Instruct the client that it is necessary to take nothing but water with the medication. B. Withhold the medication until the client's breakfast tray is available on the unit. C. Consult with a pharmacist about scheduling the dose one hour after the client eats. D. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat milk.

Correct Answer is A

Explanation

A. Instruct the client that it is necessary to take nothing but water with the medication:
Risedronate, a bisphosphonate used for osteoporosis, should be taken with a full glass of water on an empty stomach. The client should remain upright for at least 30 minutes after taking the medication to enhance absorption and reduce the risk of esophageal irritation. Milk and other beverages can interfere with the absorption of the medication.

B. Withhold the medication until the client's breakfast tray is available on the unit:
This would delay the medication unnecessarily. Risedronate should be taken on an empty stomach to ensure proper absorption.

C. Consult with a pharmacist about scheduling the dose one hour after the client eats:
This is not appropriate as risedronate should be taken on an empty stomach to ensure maximum absorption. Consulting a pharmacist in this context may lead to a misunderstanding of the medication's administration requirements.

D. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low fat milk:
Offering milk with risedronate is inappropriate as it interferes with the medication’s absorption. The client should only take the medication with water.

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A client with eczema receives a prescription for betamethasone cream. Which client statement indicates to the nurse that further teaching is needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which action should the nurse implement to assess the effectiveness of amlodipine?

Correct Answer is B

Explanation

The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?

Correct Answer is A

Explanation

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