Question 1

An adolescent has begun using benzoyl peroxide lotion twice daily to treat acne. The patient reports experiencing drying and burning of the skin. What will the nurse suggest?

Accepted Answer

A)   Applying lotion to the skin after applying the drug
B)   Reducing the frequency to one application a day
C)   Discontinuing the medication, because this is likely an allergic reaction
D)   Requesting a prescription for a gel formulation of the drug

Question 2

A 14-year-old patient has moderate acne that has not responded to topical drugs. The nurse will suggest that the patient and her parents discuss which treatment with the provider?

Accepted Answer

A)   Combination oral contraceptive medication
B)   Doxycycline (Vibramycin) 
C)   Isotretinoin (Accutane) 
D)   Spironolactone

Question 3

A nurse is teaching a group of lifeguards about safe sunning. Which statement by a lifeguard indicates understanding of the teaching?

Accepted Answer

A)   "Sunscreen should be applied 30 minutes before going outside."
B)   "I do not need sunscreen when it is cloudy outside."
C)   "I should reapply sunscreen after swimming."
D)   "UV radiation does not penetrate through water."

Question 4

A patient with actinic keratoses has received a prescription for fluorouracil (Carac) . Which statement by the patient indicates understanding of this medication?

Accepted Answer

A)   "Healing should occur 6 weeks after beginning treatment."
B)   "I will apply this drug twice daily."
C)   "Severe inflammation is an indication for stopping treatment."
D)   "Tissue ulceration and necrosis are desired effects."

Question 5

A female patient with baldness asks a nurse about the safety and efficacy of minoxidil (Rogaine) . What will the nurse tell the patient?

Accepted Answer

A)   Hair regrowth is most effective when baldness has developed recently.
B)   Minoxidil cannot be used by female patients.
C)   Once hair has been restored, minoxidil may be discontinued, because hair loss will stop.
D)   Systemic side effects, such as headaches and flushing, are common.

Question 6

To provide protection against the full range of ultraviolet (UV)  radiation, an organic sunscreen must contain which agent?

Accepted Answer

A)   Avobenzone
B)   Para-aminobenzoic acid (PAB
A)  
C)   Titanium dioxide
D)   Zinc oxide

Question 7

A patient will begin initial treatment for severe acne. Which regimen will the nurse expect the provider to order?

Accepted Answer

A)   Clindamycin/benzoyl peroxide (BenzaClin)  and tretinoin (Retin-
A)  
B)   Doxycycline (Vibramycin)  and tretinoin (Retin-
A)  
C)   Erythromycin (Ery-Tab)  and benzoyl peroxide
D)   Topical clindamycin and isotretinoin (Accutane)

Question 8

A 50-year-old patient receives botulinum toxin type A (Botox)  injections for the first time on her forehead and around her eyes. One week later, she calls the clinic to report that she is experiencing droopy eyelids. The nurse will tell the patient that this effect:

Accepted Answer

A)   is normal and will resolve in a few days.
B)   may persist for 3 to 6 months but will resolve.
C)   may progress to cause drooling and dysphagia.
D)   represents an adverse effect that may be permanent. B

Question 9

A 50-year-old patient asks about using tretinoin (Renova)  to minimize wrinkles. What will the nurse will tell the patient?

Accepted Answer

A)   The drug may be discontinued once results are obtained.
B)   Results may be visible within a few weeks of starting therapy.
C)   Systemic toxicity is a common effect in patients with sensitive skin.
D)   The drug is not effective on coarse wrinkles or sun-damaged skin. D

Question 10

A patient has severe acne that has been refractory to treatment. The patient is taking tetracycline and using topical tretinoin (Retin-A)  and has been applying benzoyl peroxide twice daily. The provider asks the nurse to teach this patient about isotretinoin (Accutane) , which the patient will begin taking in a few weeks. The nurse will include which statement when teaching this patient about this drug?

Accepted Answer

A)   "Alcohol may be consumed in moderation when taking this drug."
B)   "Skin rash, headache, and hair loss are common with this drug."
C)   "Tetracycline must be discontinued before beginning the isotretinoin."
D)   "Two pregnancy tests are required before each monthly refill of your prescription."

Question 11

A child with eczema has been treated unsuccessfully with a topical glucocorticoid for a year and has skin atrophy and hypopigmentation. The nurse will suggest discussing which drug with the provider?

Accepted Answer

A)   Higher potency topical glucocorticoids
B)   Topical keratolytic agents
C)   Topical immunosuppressants
D)   Topical nonsteroidal anti-inflammatory drugs (NSAIDs)  C

Question 12

A patient asks a nurse what a sun protection factor (SPF)  of 15 indicates. The nurse will tell the patient that an SPF of 15 indicates:

Accepted Answer

A)   a 93% block of UVB radiation.
B)   half the protection of a sunscreen with an SPF of 30.
C)   low protection.
D)   it takes 15 minutes for the sun to burn.

Question 13

An infant has a severe contact diaper dermatitis. The provider orders triamcinolone acetonide (Kenalog)  0.1% cream to be applied 3 times daily. When teaching the infant's parents about this medication, the nurse will instruct them to apply:

Accepted Answer

A)   a thick layer and massage the cream into the skin.
B)   a thin layer and leave the diaper open as much as possible.
C)   the cream and place an occlusive dressing over the area.
D)   the cream and put the infant's diaper on tightly.

Question 14

A patient with psoriasis has been using a high-potency glucocorticoid. Because of skin atrophy, the provider has ordered a switch to calcitriol (Vecta) , a vitamin D? analog. What will the nurse teach this patient?

Accepted Answer

A)   "Calcitriol causes severe photosensitivity."
B)   "Itching, erythema, and irritation are indications of an allergic reaction."
C)   "Systemic effects do not occur with this topical agent."
D)   "You may apply calcitriol to all areas of the skin except the face."

Question 15

An adolescent has recently been experiencing pimples. The nurse notes several closed comedones across the patient's forehead and on the nose. The nurse will expect to teach this patient about the use of which medication?

Accepted Answer

A)   Benzoyl peroxide
B)   Topical clindamycin
C)   Topical erythromycin
D)   Topical retinoids

Question 16

A teenaged female patient has begun to develop acne and asks a nurse how to minimize pimple formation. What will the nurse recommend?

Accepted Answer

A)   Asking the provider about oral contraceptives
B)   Cleansing the face gently 2 to 3 times daily
C)   Eliminating greasy foods from the diet
D)   Using an abrasive agent to scrub the face

Question 17

A patient with severe psoriasis will begin taking acitretin (Soriatane) . The nurse obtains a health history and learns that the patient takes a combination oral contraceptive. What will the nurse do?

Accepted Answer

A)   Counsel the patient to use another form of birth control along with the OCP.
B)   Tell the patient she may stop using contraception when the medication is withdrawn.
C)   Tell the patient that acitretin is safe to take during pregnancy.
D)   Tell the patient to report spotting to the provider so that another form of contraceptive may be ordered.

Question 18

A nurse is discussing the use of tazarotene (Tazorac)  with a patient who has psoriasis. Which statement by the patient indicates a need for further teaching?

Accepted Answer

A)   "I should use a sunscreen when using this medication."
B)   "I understand the gel can cause staining of clothing."
C)   "I will apply this once daily in the evening."
D)   "I will apply the medication to dry skin."

Question 19

A patient is using a high-concentration keratolytic agent containing salicylic acid to remove warts. What will the nurse teach this patient?

Accepted Answer

A)   Peeling and drying are desired effects of this drug.
B)   Systemic effects may occur with this medication.
C)   Tinnitus is a common side effect of little concern.
D)   Tissue injury is unlikely at this dose.

Question 20

An adolescent patient with moderate acne has begun a regimen consisting of combination clindamycin/benzoyl peroxide (BenzaClin)  and tretinoin (Retin-A) . Which statement by the patient indicates understanding of this medication regimen?

Accepted Answer

A)   "I should apply the Retin-A immediately after bathing."
B)   "I should apply the Retin-A twice daily."
C)   "I should augment this therapy with an abrasive soap."
D)   "I should use sunscreen every day."

Exam 105: Drugs for the Skin

An adolescent has begun using benzoyl peroxide lotion twice daily to treat acne. The patient reports experiencing drying and burning of the skin. What will the nurse suggest?

Correct Answer
verified

A 14-year-old patient has moderate acne that has not responded to topical drugs. The nurse will suggest that the patient and her parents discuss which treatment with the provider?

Correct Answer
verified

A nurse is teaching a group of lifeguards about safe sunning. Which statement by a lifeguard indicates understanding of the teaching?

Correct Answer
verified

A patient with actinic keratoses has received a prescription for fluorouracil (Carac) . Which statement by the patient indicates understanding of this medication?

Correct Answer
verified

A female patient with baldness asks a nurse about the safety and efficacy of minoxidil (Rogaine) . What will the nurse tell the patient?

Correct Answer
verified

To provide protection against the full range of ultraviolet (UV) radiation, an organic sunscreen must contain which agent?

Correct Answer
verified

A patient will begin initial treatment for severe acne. Which regimen will the nurse expect the provider to order?

Correct Answer
verified

A 50-year-old patient receives botulinum toxin type A (Botox) injections for the first time on her forehead and around her eyes. One week later, she calls the clinic to report that she is experiencing droopy eyelids. The nurse will tell the patient that this effect:

Correct Answer
verified
B

A 50-year-old patient asks about using tretinoin (Renova) to minimize wrinkles. What will the nurse will tell the patient?

Correct Answer
verified
D

Correct Answer
verified

A child with eczema has been treated unsuccessfully with a topical glucocorticoid for a year and has skin atrophy and hypopigmentation. The nurse will suggest discussing which drug with the provider?

Correct Answer
verified
C

A patient asks a nurse what a sun protection factor (SPF) of 15 indicates. The nurse will tell the patient that an SPF of 15 indicates:

Correct Answer
verified

An infant has a severe contact diaper dermatitis. The provider orders triamcinolone acetonide (Kenalog) 0.1% cream to be applied 3 times daily. When teaching the infant's parents about this medication, the nurse will instruct them to apply:

Correct Answer
verified

A patient with psoriasis has been using a high-potency glucocorticoid. Because of skin atrophy, the provider has ordered a switch to calcitriol (Vecta) , a vitamin D? analog. What will the nurse teach this patient?

Correct Answer
verified

An adolescent has recently been experiencing pimples. The nurse notes several closed comedones across the patient's forehead and on the nose. The nurse will expect to teach this patient about the use of which medication?

Correct Answer
verified

A teenaged female patient has begun to develop acne and asks a nurse how to minimize pimple formation. What will the nurse recommend?

Correct Answer
verified

A patient with severe psoriasis will begin taking acitretin (Soriatane) . The nurse obtains a health history and learns that the patient takes a combination oral contraceptive. What will the nurse do?

Correct Answer
verified

A nurse is discussing the use of tazarotene (Tazorac) with a patient who has psoriasis. Which statement by the patient indicates a need for further teaching?

Correct Answer
verified

A patient is using a high-concentration keratolytic agent containing salicylic acid to remove warts. What will the nurse teach this patient?

Correct Answer
verified

An adolescent patient with moderate acne has begun a regimen consisting of combination clindamycin/benzoyl peroxide (BenzaClin) and tretinoin (Retin-A) . Which statement by the patient indicates understanding of this medication regimen?

Correct Answer
verified

Exam 105: Drugs for the Skin

An adolescent has begun using benzoyl peroxide lotion twice daily to treat acne. The patient reports experiencing drying and burning of the skin. What will the nurse suggest?

Correct AnswerverifiedShow Answer

A 14-year-old patient has moderate acne that has not responded to topical drugs. The nurse will suggest that the patient and her parents discuss which treatment with the provider?

Correct AnswerverifiedShow Answer

A nurse is teaching a group of lifeguards about safe sunning. Which statement by a lifeguard indicates understanding of the teaching?

Correct AnswerverifiedShow Answer

A patient with actinic keratoses has received a prescription for fluorouracil (Carac) . Which statement by the patient indicates understanding of this medication?

Correct AnswerverifiedShow Answer

A female patient with baldness asks a nurse about the safety and efficacy of minoxidil (Rogaine) . What will the nurse tell the patient?

Correct AnswerverifiedShow Answer

To provide protection against the full range of ultraviolet (UV) radiation, an organic sunscreen must contain which agent?

Correct AnswerverifiedShow Answer

A patient will begin initial treatment for severe acne. Which regimen will the nurse expect the provider to order?

Correct AnswerverifiedShow Answer

A 50-year-old patient receives botulinum toxin type A (Botox) injections for the first time on her forehead and around her eyes. One week later, she calls the clinic to report that she is experiencing droopy eyelids. The nurse will tell the patient that this effect:

Correct AnswerverifiedB

A 50-year-old patient asks about using tretinoin (Renova) to minimize wrinkles. What will the nurse will tell the patient?

Correct AnswerverifiedD

Correct AnswerverifiedShow Answer

A child with eczema has been treated unsuccessfully with a topical glucocorticoid for a year and has skin atrophy and hypopigmentation. The nurse will suggest discussing which drug with the provider?

Correct AnswerverifiedC

A patient asks a nurse what a sun protection factor (SPF) of 15 indicates. The nurse will tell the patient that an SPF of 15 indicates:

Correct AnswerverifiedShow Answer

An infant has a severe contact diaper dermatitis. The provider orders triamcinolone acetonide (Kenalog) 0.1% cream to be applied 3 times daily. When teaching the infant's parents about this medication, the nurse will instruct them to apply:

Correct AnswerverifiedShow Answer

A patient with psoriasis has been using a high-potency glucocorticoid. Because of skin atrophy, the provider has ordered a switch to calcitriol (Vecta) , a vitamin D? analog. What will the nurse teach this patient?

Correct AnswerverifiedShow Answer

An adolescent has recently been experiencing pimples. The nurse notes several closed comedones across the patient's forehead and on the nose. The nurse will expect to teach this patient about the use of which medication?

Correct AnswerverifiedShow Answer

A teenaged female patient has begun to develop acne and asks a nurse how to minimize pimple formation. What will the nurse recommend?

Correct AnswerverifiedShow Answer

A patient with severe psoriasis will begin taking acitretin (Soriatane) . The nurse obtains a health history and learns that the patient takes a combination oral contraceptive. What will the nurse do?

Correct AnswerverifiedShow Answer

A nurse is discussing the use of tazarotene (Tazorac) with a patient who has psoriasis. Which statement by the patient indicates a need for further teaching?

Correct AnswerverifiedShow Answer

A patient is using a high-concentration keratolytic agent containing salicylic acid to remove warts. What will the nurse teach this patient?

Correct AnswerverifiedShow Answer

An adolescent patient with moderate acne has begun a regimen consisting of combination clindamycin/benzoyl peroxide (BenzaClin) and tretinoin (Retin-A) . Which statement by the patient indicates understanding of this medication regimen?

Correct AnswerverifiedShow Answer

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B

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D

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C

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