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MindTap Chapter 12 Final Test
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A health care practitioner is applying ointment to the palm of a client's hand. What BEST describes the absorption rate of ointment applied to the palm of the hand?
a. The skin absorption rate will be slower because the skin is thick and calloused.
b. The skin absorption rate will be faster because the skin is thick and calloused.
c. The skin absorption rate will be the same as other areas of the body.
d. The skin absorption rate will be slower if the skin is moist.
A
A client is prescribed a topical antipruritic cream for multiple bug bites. The client asks the health care practitioner if the cream will stop the pain and itch. How should the health care practitioner respond?
a. The pain should stop within a day.
b. The medicine contains benzocaine to stop the pain.
c. The pain will stop when the itching stops.
d. The cream will work after the burning and stinging sensation subsides.
B
A health care practitioner is reviewing a corticosteroid ointment prescription for her client. Under what condition is this type of ointment contraindicated?
a. Epidermal thickening
b. Seborrhea
c. Psoriasis
d. Open wound
D
A client presents with a strange rash in the web of his hands. He tells the health care practitioner that it is very itchy and that other clients in his retirement home are being treated with permethrin for scabies for the same issue. What instructions would be pertinent to share with this client for this medication?
a. Apply lotion to hands, wash thoroughly, and rinse until clear.
b. Apply lotion from head to toe, and wash your body off after 8 to 14 hours.
c. Apply lotion, and let it stay on the hands for 10 minutes prior to washing off.
d. Apply lotion from head to toe, take a shower after 10 minutes, and rinse until clear.
B
What is an example of a keratolytic that is used to treat psoriasis?
a. Pediculicides
b. Coal tar
c. Antifungals
d. Collagenase
B
The mother of an eight-year-old client is asking the health care practitioner how to best treat her daughter's head lice. What should the health care practitioner share with the client's mother regarding the treatment of lice?
a. Apply the cream as you need, dictated by the complaint of itching.
b. It is not necessary to inform others of the infestation unless the first round of medication is unsuccessful.
c. Itching may still occur after the successful killing of lice and is not necessarily an indication for retreatment.
d. The cream can be used for all age populations.
C
A nurse is cleaning a stage IV decubitus ulcer for her client. What type of preparation would the nurse apply?
a. Collagenase
b. Silver sulfadiazine
c. Salicylic acid
d. Benzoyl peroxide
A
A client with diabetes is being treated with nystatin for a monilial infection of the mouth. What instructions should be provided to the client?
a. Apply and rinse after eating.
b. Apply after meals, and do not eat for at least 1 hour.
c. Rinse and swish in the mouth prior to eating.
d. There are no special instructions.
B
A client is using the topical ointment acyclovir for a cold sore and is following up at the clinic. What advice should be shared with the client?
a. Acyclovir is an antibacterial agent and will cure herpes.
b. Acyclovir is an enzymatic preparation and will cure herpes.
c. Acyclovir is not a cure for the herpes virus.
d. Acyclovir is available only as an ointment.
C
A 76-year-old client is being treated for a linear rash appearing down one side of her body. The client describes it as "10" on a pain scale of 1 to 10. When questioned, she is unsure if she had herpes zoster as a youngster. The physician prescribes oral valacyclovir. Which of the following is TRUE about this treatment?
a. It should be started within 72 hours of rash onset.
b. It prevents infections.
c. It is effective in preventing the rash from spreading if applied within 48 hours of rash onset.
d. It is an antiviral infection.
A
In reviewing patient education materials regarding the use of an emollient, the health care practitioner knows that the purpose of an emollient as which of the following?
a. A medication to relieve itching
b. An agent to loosen epithelial scales
c. A medication to protect and soothe irritations
d. A local anti-infective to treat and prevent infections
C
A mother calls her health care provider's office requesting treatment of lindane (Kwell) solution for her child's exposure to lice at a local camp. How should the health care practitioner respond?
a. It cannot be used near the eyes or mucous membranes.
b. It is a first-line treatment for lice.
c. It is safe to use and does not require the laundering of clothing during use.
d. It is absorbed systemically and is not safe for children.
D
A two-year-old client is being treated for vesicular rash that appears golden and crusted on the child's abdomen. The health care practitioner suspects a local staphylococcus infection. The health care practitioner knows that mupirocin will be ordered and explains to the parent that it is typically used to treat which of the following?
a. Local viral infections
b. Rashes that itch
c. Local bacterial infections
d. Chicken pox rashes
C
A client has a second-degree burn to the arm after hot water spilled on it one hour ago. The topical ointment Silvadene is ordered for the client. What information does the health care practitioner need to know?
a. The age of the client
b. The weight of the client
c. The total surface area burned
d. If the client has any allergies
D
A female client is being treated for vaginitis and is prescribed the vaginal antifungal cream, Monistat. The discharge instructions should include which of the following?
a. Wear tight-fitting clothing.
b. Take the medication until you stop itching.
c. Do not continue treatment during menstruation.
d. Continue treatment even during menstruation.
D
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