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pharmacology chapter 50
FSCJ Nursing program
47
Nursing
Undergraduate 3
09/30/2011

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Term
Some skin disorders include
Definition
acne vulgaris, psoriasis, eczema dermatitis, contact dermatitis, drug-induced dermatitis, and burn infection.
Term
Skin eruptions may result from
Definition
viral infections (e.g., herpes simplex, herpes zoster), fungal infections (e.g., tinea pedis [athlete's foot], tinea capitis [ringworm]), and bacterial infections
Term
Most treatments for skin eruptions include
Definition
topical creams, ointments, pastes, gels, lotions, and solutions.
Term
Skin lesions may appear as
Definition
macules papules vesicles or plaques
Term
_____ is the most common skin disorder in the United States.
Definition
acne
Term
____ ____ is the formation of papules, nodules, and cysts on the face, neck, shoulders, and back resulting from keratin plugs at the base of the pilosebaceous oil glands near the hair follicles
Definition
Acne Vulgaris
Term
Megadoses of ___ ____were once used to treat acne.Because excessive doses can be highly toxic, megadosing is no longer a valid therapy for treating acne.
Definition
vitamin A
Term
Mild acne may require gentle cleansing and the use of ______
Definition
keratolytics
Term
For ____ ____, oral antibiotics (tetracycline [drug of choice] or erythromycin) and topical glucocorticoids may be prescribed.
Definition
severe acne
Term
Tetracycline inhibits
Definition
bacterial protein synthesis
Term
A major side effect of tetracycline is
Definition
photosensitivity
Term
_____ is a chronic skin disorder that affects 1% to 2% of the U.S. population
Definition
Psoriasis
Term
Psoriasis is characterized by erythematous ____ and _____ covered with silvery scales
Definition
papules and plaques
Term
With psoriasis, epidermal cell growth and epidermal turnover is accelerated to approximately ___ ____ the normal expected epidermal growth
Definition
5 times
Term
The common wart (_____ _____ ) is a hard, horny nodule that may appear anywhere on the body, particularly on the hands and feet.
Definition
Verruca Vulgaris
Term
______ may be benign lesions, or they may be precursors to cancerous lesions, especially those in the genital region
Definition
warts
Term
warts may be removed by ____, ___, or __ ___.
Definition
freezing, electrodesiccation, or surgical excision.
Term
The nursing process for which skin disorders include :
Assess client's skin eruptions. Describe the lesions, location, and drainage, if present.

▪ Obtain a culture of a purulent draining skin lesion.
Definition
Acne Vulgaris and Psoriasis
Term
Instruct client not to use harsh cleansers. Tell client to gently clean the skin several times a day if they have ____ ____
Definition
Acne Vulgaris
Term
An adverse reaction to drug therapy may result in....
Definition
skin lesions that vary from a rash, urticaria, papules, and vesicles to life-threatening skin eruptions such as erythema multiforme (red blisters over a large portion of the body), Stevens-Johnson syndrome (large blisters in the oral and anogenital mucosa, pharynx, eyes, and viscera), and toxic epidermal necrolysis (widespread detachment of the epidermis from underlying skin layers).
Term
A hypersensitive reaction to a drug is caused by the formation of sensitizing ______
Definition
lymphocytes
Term
. If multiple drug therapy is used, the ___ ____ ____ may be the cause of the hypersensitivity and skin eruptions
Definition
last drug given
Term
_____ ______ also called exogenous dermatitis, is caused by chemical or plant irritation
Definition
Contact Dermatitis
Term
A skin rash with itching, swelling, blistering, oozing, or scaling at the affected skin sites characterizes this disorder
Definition
Contact Dermatitis
Term
______ ______ may contain the antihistamine diphenhydramine and is used primarily for plant irritations.
Definition
Calamine lotion
Term
a common staphylococcus aureus infection of the skin, is most commonly seen in children 2 to 5 years old.
Definition
Impetigo
Term
When the hair shaft is lost and the hair follicle cannot regenerate, male-pattern baldness, called ______ occurs
Definition
alopecia
Term
_____ _____ ____ is associated with a familial history and occurs during the aging process, earlier in some individuals than others.
Definition
Permanent hair loss
Term
_______ causes vasodilation, increasing cutaneous blood flow. The increased blood flow tends to stimulate hair follicle growth. When the drug is discontinued, however, hair loss occurs within 3 to 4 months.
Definition
Minoxidil
Term
______ screens (absorb ultraviolet [UV] radiation) and _______ (scatter UV radiation) are the two categories of sunscreens.
Definition
chemical, physical
Term
The _____ type accounts for most of the 126 FDA-approved sunscreens
Definition
chemical
Term
hysical screens prevent skin penetration of
Definition
ultra violet light
Term
____ ____ causes many problems, including premature aging of the skin, burns, and skin cancer.
Definition
Ultraviolet radiation
Term
____ ____ ____ causes many problems, including premature aging of the skin, burns, and skin cancer.
Definition
Sun protection factor (SPF)
Term
____ ____ ____ causes many problems, including premature aging of the skin, burns, and skin cancer.
Definition
Sun protection factor (SPF)
Term
Using common sense is the best way to protect the skin. Ultraviolet radiation is most intense between ____ AM and ____
Definition
10am, 3pm
Term
A moderately severe sunburn is an example of a
Definition
first-degree burn
Term
Persons with ______ and ___ ____ ___that involve the dermis and subcutaneous tissue should undergo treatment in a burn center or other hospital setting.
Definition
second, third degree burns
Term
____ _____ is commonly used to prevent and treat sepsis in second- and third-degree burns.
Definition
Silver Sulfadiazine
Term
1. The nurse reviews the client's list of medications and recalls that the purpose of keratolytic agents is to remove what?

a. A horny layer of dermis

b. A horny layer of epidermis

c. Erythematous lesions

d. Hair follicles
Definition
B
Term
2. Nursing implications for health teaching with clients taking isotretinoin include which implications? (Select all that apply.)

a. Avoid sunlight.

b. Monitor weight.

c. Monitor CBC, glucose, and lipids.

d. Do not breastfeed or give blood.
Definition
A, C, D
Term
3. The nurse is doing health teaching with a client with psoriasis. Which is a nursing implication of the new biologic agents for the management of psoriasis?

a. Daily weight

b. Monitor electrolytes

c. Assess lesions

d. Monitor CBC and T-cell count
Definition
C
Term
4. A 55-year-old man has a chief complaint: “I'm going bald.” Which drug is used to treat male pattern baldness?

a. dexamethasone

b. PABA

c. minoxidil

d. finasteride
Definition
D
Term
5. The client has second- and third-degree burns over 25% of his body. Mafenide acetate has been ordered. What acid-base imbalance can result from its use? (Select all that apply.)

a. Metabolic acidosis

b. Metabolic alkalosis

c. Respiratory alkalosis

d. Respiratory acidosis
Definition
A
Term
6. The nurse reviews the client's medication history. Based on the client's prolonged use of glucocorticoids, what does the assessment include? (Select all that apply.)

a. Obesity

b. Thinning of the skin

c. Erythematous lesions

d. Purpura
Definition
B, D
Term
7. A 20-year-old woman comes to the clinic for follow-up related to isotretinoin use. The nurse reviews the iPLEDGE program, which includes which important information? (Select all that apply.)

a. That an effective method of contraception must be used throughout treatment

b. A review of iPLEDGE educational materials

c. That a negative pregnancy test is required before each monthly refill

d. That informed consent is not required
Definition
B, C
Term
8. The school nurse prepares a program for junior high school students on sun safety. What is important information to include? (Select all that apply.)

a. Sunscreen products should contain information about UVA and UVB SPF protection.

b. UVB radiation is greatest between 10 AM and 4 PM.

c. Clouds block radiation, so sunscreen is not needed on cloudy days.

d. SPF should be at least 15 in sunscreen products.
Definition
A, B, D
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