Holland/Adams/Brice, Core Concepts in Pharmacology 5th Edition Test Bank
Chapter 37

Question 1

Type: MCMA

What are the medical terms for the layers of the skin? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Epidermis
2. Stratum corneum
3. Dermis
4. Hypodermis
5. Integumentary

Cognitive Level: Remembering

Client Need: Health Promotion and Maintenance

Page Number: 625

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 37-1 Identify important skin layers, and explain how superficial skin cells must be replaced after they become damaged or lost.

Question 2

Type: MCMA

The nurse is teaching a client about age-related changes in the skin. What should the nurse include in the teaching session? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Increase in skin tumors
2. Loss of elasticity
3. Fragile epidermis
4. Loss of hair follicles
5. Reduced ability to sweat

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 626

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 37-2 Describe major symptoms associated with stress and injury to the skin versus those associated with a patient’s changing age or health.

Question 3

Type: MCMA

Which symptoms are associated with stress or injury to the skin? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Crusty, cracked areas
2. Infestations
3. Blisters, calluses
4. Sores, lesions
5. Acne, blemishes

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 626

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 36-2 Describe major symptoms associated with stress and injury to the skin versus those associated with a patient’s changing age or health.

Question 4

Type: MCSA

The nurse is educating the mother of an infant with dermatitis regarding long-term effects of the condition. Which teaching point is appropriate for the nurse to pass on to the mother?

1. “If you use the treatment as prescribed, the dermatitis will be cured.”
2. “Because your child has dermatitis now, your child will outgrow the symptoms.”
3. “Approximately 60% of infants with dermatitis have symptoms into adulthood.”
4. “Once the dermatitis is clear, your child will have no further problems.”

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 628

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 37-1 Identify important skin layers, and explain how superficial skin cells must be replaced after they become damaged or lost.

Question 5

Type: MCSA

A mother of a school-aged child who was treated for scabies asks the nurse why her child continues to have itching with no sign of mites. Which response by the nurse is the most appropriate?

1. “You will have to switch to something stronger like Lindane (Kwell).”
2. “Itching is common, even after the mites have been killed.”
3. “The mites are too small to see, and treatment should be continued.”
4. “Permethrin (Acticin) usually works, but your child must need something stronger.”

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 628

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 37-3 Describe proper treatments used in conjunction with available drug therapies to treat skin disorders, and identify the major actions, primary actions, and important adverse effects of the following types of drugs: scabicides, pediculicides, topical anesthetics, and topical medications, as well as antibiotics, retinoids, keratolytic agents, corticosteroids, emollients, and psoralens.

Question 6

Type: MCSA

The nurse is caring for a client who is being seen for sunburn. What should the nurse include in education to prevent this from occurring in the future?

1. Lotions to prevent further irritation to the skin
2. Prevention with use of sunscreens, sunglasses, and sufficient clothing
3. Tetanus toxoid to prevent infection
4. Anesthetics for pain reduction

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 630

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 37-3 Describe proper treatments used in conjunction with available drug therapies to treat skin disorders, and identify the major actions, primary actions, and important adverse effects of the following types of drugs: scabicides, pediculicides, topical anesthetics, and topical medications, as well as antibiotics, retinoids, keratolytic agents, corticosteroids, emollients, and psoralens.

Question 7

Type: MCSA

A client with rosacea asks how to limit exacerbation of symptoms. What should the nurse recommend for this client?

1. Eliminating alcohol and spicy foods from the diet
2. Use of burdock root as a skin detoxifier
3. Using drugs to inhibit bacterial growth
4. Keeping the skin moist

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 631

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 37-3 Describe proper treatments used in conjunction with available drug therapies to treat skin disorders, and identify the major actions, primary actions, and important adverse effects of the following types of drugs: scabicides, pediculicides, topical anesthetics, and topical medications, as well as antibiotics, retinoids, keratolytic agents, corticosteroids, emollients, and psoralens.

Question 8

Type: MCSA

The client has scabies. Where will the nurse assess this client?

1. Waist and armpit areas
2. Across the shoulders and neck area
3. Any skin area
4. Head and groin

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 629

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 37-3 Describe proper treatments used in conjunction with available drug therapies to treat skin disorders, and identify the major actions, primary actions, and important adverse effects of the following types of drugs: scabicides, pediculicides, topical anesthetics, and topical medications, as well as antibiotics, retinoids, keratolytic agents, corticosteroids, emollients, and psoralens.

Question 9

Type: MCSA

What is the term for the pharmacological agents that kill mites?

1. Pediculicides
2. Psoralens
3. Scabicides
4. Antibiotics

Cognitive Level: Remembering

Client Need: Physiological Integrity

Page Number: 628

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 37-3 Describe proper treatments used in conjunction with available drug therapies to treat skin disorders, and identify the major actions, primary actions, and important adverse effects of the following types of drugs: scabicides, pediculicides, topical anesthetics, and topical medications, as well as antibiotics, retinoids, keratolytic agents, corticosteroids, emollients, and psoralens.

Question 10

Type: MCMA

The nurse instructs the mother of a school-age child with lice to prevent reinfestation. What should the nurse include in the teaching session? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Comb the infested area after the hair has been dried.
2. Inspect hair shafts daily for at least 1 week after treatment.
3. All material coming in close contact with the patient should be washed in hot water.
4. Cut the hair of the child to 1 inch.
5. Retreat the hair in 30 days.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 629

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 37-3 Describe proper treatments used in conjunction with available drug therapies to treat skin disorders, and identify the major actions, primary actions, and important adverse effects of the following types of drugs: scabicides, pediculicides, topical anesthetics, and topical medications, as well as antibiotics, retinoids, keratolytic agents, corticosteroids, emollients, and psoralens.

Question 11

Type: MCMA

The nurse is caring for a client who has been prescribed benzocaine (Americaine). The client asks the nurse what the medication is used to treat. Which responses by the nurse are appropriate? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Sunburn
2. Pruritus
3. Second-degree burns
4. Insect bites
5. Head lice

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 630

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 37-3 Describe proper treatments used in conjunction with available drug therapies to treat skin disorders, and identify the major actions, primary actions, and important adverse effects of the following types of drugs: scabicides, pediculicides, topical anesthetics, and topical medications, as well as antibiotics, retinoids, keratolytic agents, corticosteroids, emollients, and psoralens.

Question 12

Type: MCSA

A client with acne asks the nurse which OTC medication is used to treat acne. What medications should the nurse include in the teaching session?

1. Tretinoin (Retin-A)
2. Benzoyl peroxide (BenzaClin)
3. Adapalene (Differin)
4. Doxycycline (Doryx)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 631

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 37-3 Describe proper treatments used in conjunction with available drug therapies to treat skin disorders, and identify the major actions, primary actions, and important adverse effects of the following types of drugs: scabicides, pediculicides, topical anesthetics, and topical medications, as well as antibiotics, retinoids, keratolytic agents, corticosteroids, emollients, and psoralens.

Question 13

Type: MCMA

A client has been prescribed tretinoin (Retin-A). What will the nurse include in the client teaching? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. “Do not use this medication if pregnant.”
2. “Avoid using vitamin C supplements.”
3. “Increase intake of vitamin A.”
4. “Avoid exposure to the sun.”
5. “Do not take with oral contraceptives.”

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 632

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 37-3 Describe proper treatments used in conjunction with available drug therapies to treat skin disorders, and identify the major actions, primary actions, and important adverse effects of the following types of drugs: scabicides, pediculicides, topical anesthetics, and topical medications, as well as antibiotics, retinoids, keratolytic agents, corticosteroids, emollients, and psoralens.

Question 14

Type: MCMA

A client is being treated with corticosteroids for contact dermatitis. The client asks how to avoid contact dermatitis. Which statements by the nurse are appropriate to indicate how contact dermatitis is caused? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Latex
2. Jewelry
3. Perfume
4. Peanuts
5. Lactose

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 632

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 37-3 Describe proper treatments used in conjunction with available drug therapies to treat skin disorders, and identify the major actions, primary actions, and important adverse effects of the following types of drugs: scabicides, pediculicides, topical anesthetics, and topical medications, as well as antibiotics, retinoids, keratolytic agents, corticosteroids, emollients, and psoralens.

Question 15

Type: MCMA

The nurse is teaching a client about systemic medications that are used to treat psoriasis. Which medications are appropriate for the nurse to include in this teaching session? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Tazarotene (Tazorac)
2. Betamethasone (Diprolene)
3. Acitretin (Soriatane)
4. Etanercept (Enbrel)
5. Diphenhydramine (Benadryl)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 635

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 37-3 Describe proper treatments used in conjunction with available drug therapies to treat skin disorders, and identify the major actions, primary actions, and important adverse effects of the following types of drugs: scabicides, pediculicides, topical anesthetics, and topical medications, as well as antibiotics, retinoids, keratolytic agents, corticosteroids, emollients, and psoralens.

Question 16

Type: MCSA

The nurse is caring for a client with psoriasis. Which treatment method would the nurse question?

1. Antibiotics
2. Immunosuppressant medications
3. Topical glucocorticoids
4. Emollients

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 634

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome37-3 Describe proper treatments used in conjunction with available drug therapies to treat skin disorders, and identify the major actions, primary actions, and important adverse effects of the following types of drugs: scabicides, pediculicides, topical anesthetics, and topical medications, as well as antibiotics, retinoids, keratolytic agents, corticosteroids, emollients, and psoralens.

Question 17

Type: MCSA

A client with scabies has been prescribed a medication that should be rinsed from the body within 10 minutes after being applied. What medication does the nurse anticipate has been prescribed for this client?

1. Pyrethrin (RID)
2. Malathion (Ovide)
3. Crotamiton (Eurax)
4. Permethrin (Nix)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 628

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 37-3 Describe proper treatments used in conjunction with available drug therapies to treat skin disorders, and identify the major actions, primary actions, and important adverse effects of the following types of drugs: scabicides, pediculicides, topical anesthetics, and topical medications, as well as antibiotics, retinoids, keratolytic agents, corticosteroids, emollients, and psoralens.

Question 18

Type: MCSA

Which medication is used to treat both sickle-cell anemia and psoriatic symptoms?

1. Tazarotene (Tazorac)
2. Hydroxyurea (Hydrea)
3. Adapalene (Differin)
4. Calcipotriene (Dovonex)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 635

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 37-3 Describe proper treatments used in conjunction with available drug therapies to treat skin disorders, and identify the major actions, primary actions, and important adverse effects of the following types of drugs: scabicides, pediculicides, topical anesthetics, and topical medications, as well as antibiotics, retinoids, keratolytic agents, corticosteroids, emollients, and psoralens.

Question 19

Type: MCSA

A client with psoriasis asks the nurse whether there is a topical therapy that may be used without other medications for psoriasis. Which response by the nurse is the most appropriate?

1. Tar treatment (coal tar)
2. Cyclosporine (Sandimmune)
3. Methotrexate (Amethopterin)
4. Hydroxyurea (Hydrea)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 634

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 37-3 Describe proper treatments used in conjunction with available drug therapies to treat skin disorders, and identify the major actions, primary actions, and important adverse effects of the following types of drugs: scabicides, pediculicides, topical anesthetics, and topical medications, as well as antibiotics, retinoids, keratolytic agents, corticosteroids, emollients, and psoralens.

Question 20

Type: MCSA

UVB (ultraviolet B) and UVA (ultraviolet A) phototherapy are techniques used in cases of severe psoriasis. The nurse correctly instructs the client that which type is less hazardous?

1. Neither is hazardous
2. UVB (ultraviolet B)
3. UVA (ultraviolet A)
4. Both are the same

Cognitive Level: Understanding

Client Need: Physiological Integrity

Page Number: 634

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 37-3 Describe proper treatments used in conjunction with available drug therapies to treat skin disorders, and identify the major actions, primary actions, and important adverse effects of the following types of drugs: scabicides, pediculicides, topical anesthetics, and topical medications, as well as antibiotics, retinoids, keratolytic agents, corticosteroids, emollients, and psoralens.

Question 21

Type: MCSA

What occurs when psoralens are exposed to UV light?

1. They inhibit DNA synthesis and arrest abnormal cell growth.
2. They increase cell growth.
3. They increase the size of plaques.
4. They produce a photosensitive reaction.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 634

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 37-3 Describe proper treatments used in conjunction with available drug therapies to treat skin disorders, and identify the major actions, primary actions, and important adverse effects of the following types of drugs: scabicides, pediculicides, topical anesthetics, and topical medications, as well as antibiotics, retinoids, keratolytic agents, corticosteroids, emollients, and psoralens.