Pharmacology Clear And Simple A Guide To Drug 2nd Edition By Watkins – Test Bank
Chapter 11. Integumentary System Medications
Answer Section
MULTIPLE CHOICE
- ANS: B PTS: 1 DIF: Moderate
TOP: Therapeutic Classification: Dermatologic Medications KEY: Application
MSC: NCLEX Category: Pharmacological Therapies
NOT: See Master Essentials Table and Bacteria (p. 207, 208): Acne is due to an increase in androgens during puberty. Abnormal keratinization (hardening of the epithelial tissue) can occur. Open comedos or black heads are oil glands plugged with melanin granules. Medications used to treat acne can be applied topically to the irritated areas, frequently the face, back, and neck. For severe acne, salicylic acid may be used topically to remove the infected skin through shedding. Lindane is a scabicide/pediculicide; anthralin and etanercept are antipsoriatic agents.
- ANS: D PTS: 1 DIF: Moderate
TOP: Therapeutic Classification: Dermatologic Medications KEY: Application
MSC: NCLEX Category: Pharmacological Therapies
NOT: See Master Essentials Table and Bacteria (p. 207–208): Over the counter medications such as creams, gels, or lotions usually contain benzoyl peroxide, a bacteriostatic agent. Hydrocortisone is an anti-inflammatory, lidocaine is a topical anesthetic, and clotrimazole is a topical antifungal agent.
- ANS: A PTS: 1 DIF: Moderate
TOP: Therapeutic Classification: Dermatologic Medications KEY: Analysis
MSC: NCLEX Category: Pharmacological Therapies
NOT: See Master Essentials Table and Bacteria (p. 208): Vitamin A is a retinoid commonly used in the treatment of rosacea. Rosacea is a type of skin irritation without pus that appears as flushed skin especially on the nose and cheek. Oral fever blisters are associated with HSV-1. Dry, patchy, reddened areas on the skin and joints are characteristic of psoriasis. Genital warts are associated with HPV and treated with cryosurgery, liquid nitrogen, or salicylic acid.
- ANS: C PTS: 1 DIF: Hard
TOP: Therapeutic Classification: Dermatologic Medications KEY: Analysis
MSC: NCLEX Category: Safety and Infection Control
NOT: See Bacteria (p. 208): Impetigo is a common bacterial infection in children (classically seen with reddened areas around the nose and lips with honey-colored crusts). It is treated with topical or oral antibiotics.
- ANS: B PTS: 1 DIF: Moderate
TOP: Therapeutic Classification: Dermatologic Medications KEY: Analysis
MSC: NCLEX Category: Pharmacological Therapies
NOT: See Master Essentials Table and Parasites (p. 207–208): Scabies is a parasitic infection caused by human itch mites that burrow into the skin and lay eggs. It usually occurs in the webbing of the fingers and toes as well as the neck, axillae, and groin. The client is not being treated for, nor exhibiting symptoms of, lice.
- ANS: A PTS: 1 DIF: Moderate
TOP: Therapeutic Classification: Dermatologic Medications KEY: Knowledge
MSC: NCLEX Category: Pharmacological Therapies
NOT: See Master Essentials Table and Parasites (p. 207–208): Pediculicides are used to treat lice infestations.
- ANS: B PTS: 1 DIF: Moderate
TOP: Therapeutic Classification: Dermatologic Medications KEY: Analysis
MSC: NCLEX Category: Pharmacological Therapies
NOT: See Viruses (p. 209): Abreva is a nonprescription antiviral topical medication used in the treatment of HSV-1. Applied at the first sign of a cold sore, it can be used up to five times daily and shortens the healing time by blocking viral spread. Side effects include headache and nasal congestion.
- ANS: D PTS: 1 DIF: Moderate
TOP: Therapeutic Classification: Dermatologic Medications KEY: Application
MSC: NCLEX Category: Basic Care and Comfort
NOT: See Viruses (p. 209): Condylomas are warts on the genitals and are typically caused by HPV. Cryosurgery with liquid nitrogen or topical products containing salicylic acid may be necessary.
- ANS: C PTS: 1 DIF: Moderate
TOP: Therapeutic Classification: Dermatologic Medications KEY: Application
MSC: NCLEX Category: Pharmacological Therapies
NOT: See Fungi (p. 209): Fungal infections that affect the integumentary system include tinea and candidiasis. In tinea infections, topical antifungals such as clotrimazole may be used when the infection is present on the trunk, extremities, groin, or feet. Nystatin is an oral antifungal agent. Lidocaine is a topical anesthetic. Calcipotriene is used in the treatment of psoriasis.
- ANS: A PTS: 1 DIF: Moderate
TOP: Therapeutic Classification: Dermatologic Medications KEY: Application
MSC: NCLEX Category: Basic Care and Comfort
NOT: See Inflammatory Conditions and Medications (p. 209): Antipsoriatic agents and ultraviolet (IV) therapy are used to treat psoriasis.
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