NCLEX-RN Pharm ANSWERS&RATIONALES

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Salicylic acid is prescribed for a client with a diagnosis of psoriasis. The nurse monitors the client, knowing that which finding indicates the presence of systemic toxicity from this med? 1. tinnit... us 2. diarrhea 3. constipation 4. decreased respirations - CORRECT ANSWER IS 1 - rationale: Salicylic acid is absorbed readily through the skin and systemic toxicity (salicylism) can result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological disturbances. The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which instructions should the nurse provide? Select all that apply. 1. Sunscreen should be applied every 8hrs. 2. Use sunscreen when participating in outdoor activities. 3. Wear a hat, opaque clothing, and sunglasses when in the sun. 4. Avoid sun exposure in the late afternoon and early evening hours. 5. Examine your body monthly for any lesions that may be suspicious. - CORRECT ANSWER IS 2, 3, 5. Instruct client to avoid sun between hours of 10am-4pm. Sunscreen, a hat, opaque clothing, and sunglasses should be worn for outdoor activities. Inspect skin monthly for evidence of precancerous lesions. Sunscreens should be reapplied every 2-3hrs, and after swimming or sweating, otherwise protection is reduced. Mafenide acetate (Sulfamylon) is prescribed for a client with a burn injury. When applying the medication, the client complains of local discomfort and burning. The nurse should take which most appropriate action? 1. Discontinue medication. 2. Notify the health care provider. 3. Inform the client that this is expected. 4. Apply a thinner film than prescribed to the burn site. - CORRECT ANSWER IS 3. Mafenide acetate is bacteriostatic for gram-neg and gram-pos organisms and is used to treat burns to reduce the bacteria present in avascular tissues. Inform client that med will cause local discomfort and burning and this is a normal reaction. A burn client is receiving treatments of topical mafenide acetate (Sulfamylon) to the site of the injury. The nurse monitors the client, knowing which finding indicates that a systemic effect has occurred? 1. hyperventilation [Show More]

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