A patient with atopic dermatitis has a new prescription for pimecrolimus (Elidel). After teaching the patient about the medication, which statement by the patient indicates that further teaching is needed?
a. After I apply the medication, I can go ahead and get dressed as usual.
b. I will need to minimize my time in the sun while I am using the Elidel.
c. I will rub the medication gently onto the skin every morning and night.
d. If the medication burns when I apply it, I will wipe it off and call the doctor.
Question 2What is the best method to prevent the spread of infection when the nurse is changing the dressing over a wound infected with Staphylococcus aureus?
a. Change the dressing using sterile gloves.
b. Soak the dressing in sterile normal saline.
c. Apply antibiotic ointment over the wound.
d. Wash hands and properly dispose of soiled dressings.
Question 3The nurse is interviewing a patient with contact dermatitis. Which finding indicates a need for patient teaching?
a. The patient applies corticosteroid cream to pruritic areas.
b. The patient uses Neosporin ointment on minor cuts or abrasions.
c. The patient adds oilated oatmeal (Aveeno) to the bath water every day.
d. The patient takes diphenhydramine (Benadryl) at night if itching occurs.
Question 4The nurse notes darker skin pigmentation in the skinfolds of a middle-aged patient who has a body mass index of 40 kg/m2. What is the nurse's best action?
a. Teach the patient about the treatment of fungal infection.
b. Discuss the use of drying agents to minimize infection risk.
c. Instruct the patient about the use of mild soap to clean skinfolds.
d. Ask the patient about type 2 diabetes or if there is a family history of it.
Question 5A patient is undergoing psoralen plus ultraviolet A light (PUVA) therapy for treatment of psoriasis. What action should the nurse take to prevent adverse effects from this procedure?
a. Cleanse the skin carefully with an antiseptic soap.
b. Shield any unaffected areas with lead-lined drapes.
c. Have the patient use protective eyewear while receiving PUVA.
d. Apply petroleum jelly to the areas surrounding the psoriatic lesions.
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