Adult Nursing Exam 6 with correct answers

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Adult Nursing Exam 6 Dermatologic Problems 1. Acne Vulgaris: a. What are the topical treatment options for a client with acne vulgaris? i. Benzoyl Peroxide- depresses sebum production & promotes... breakdown of comedo plugs; has an antibacterial effect ii. Vitamin A acid (tretinoin)- clear keratin plugs from pilosebaceous ducts; caution against sun exposure- may cause an exaggerated sunburn iii. Topical antibiotics- suppresses bacterial growth b. What systemic treatment options are available for severe cases? i. Oral Antibiotics- administered in small doses over a long period of time; ex. Tetracycline (the tetracycline family of antibiotics is contraindicated in pregnant women & children under the age of 12) ii. ii. Synthetic Vitamin A (retinoids)- these compounds can create dramatic results for those with nodular cystic acne who are unresponsive to convention therapy; common side effect is inflammation of the lips (cheilitis). iii. Estrogen therapy- suppresses sebum production and decrease skin oiliness usually reserved for young women whose acne begins same what later than usual and tends to flare-up @ certain times of their menstrual cycle. 2. Psoriasis: a. Why would you want to consult a rheumatologist for these patients? i. It is recommended that a rheumatologist be consulted due to the fact that up to 30% of people with psoriasis will develop asymmetric rheumatoid factor-negative arthritis of multiple joints, most commonly affecting joints of the hands/feet, but can also occur in elbows, knees, hips. b. What is psoriasis? What are some factors that can cause psoriasis flare-ups? i. A chronic, noninfectious inflammatory disease of the skin in which epidermal cells are produced at an abnormally rapid rate characterized by slivery plagues on skin over knees, elbows, scalp and lower back. They are red raised pathes ii. May be aggravated by stress, trauma, seasonal and hormonal changes, infection 3. Cancer: a. Review basal cell carcinoma (BCC). Where does it usually appear? What would you want to teach your patients regarding this? Also, review chart 61-4. Page 1794 i. UV damaged skin on face, neck scalp and head; small [Show More]

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