Exam 13: Dermatologic Agents

A primary care nurse practitioner (NP)prescribes a topical cream medication.Which statement by the patient indicates understanding of proper application of this medication?

A 5-year-old child has atopic dermatitis that is refractory to treatment with hydrocortisone acetone 2.5% cream.The primary care NP should prescribe:

A primary care NP sees a child who has honey-crusted lesions with areas of erythema around the nose and mouth.The child's parent has been applying Polysporin ointment for 5 days and reports no improvement in the rash.The NP should prescribe:

An 18-month-old child who attends day care has head lice and has been treated with permethrin 1% (Nix).The parent brings the child to the clinic 1 week later,and the primary care NP notes live bugs on the child's scalp.The NP should order:

A patient has been treated for severe contact dermatitis on both arms with clobetasol propionate cream.At a follow-up visit,the primary care NP notes that the condition has cleared.The NP should:

A patient who has scabies has been treated by the primary care NP twice with permethrin (Elimite).The second application was administered 10 days after the first.The patient returns to the clinic with mild pruritus and erythema.The NP does not observe new burrows on the skin.The NP should:

A patient is seen by a primary care NP to evaluate a rash.The NP notes three ring-shaped lesions with elevated,erythematous borders and two smaller,scaly patches on the patient's abdomen.The patient has not used any over-the-counter medications on the rash.The NP should prescribe:

A primary care NP is considering using a topical immunosuppressive agent for a patient who has atopic dermatitis that is refractory to treatment with topical corticosteroids.The NP should:

A primary care NP prescribes fluocinolone cream for a patient who has contact dermatitis.At a follow-up visit in 2 weeks,the patient reports decreased pruritus but continues to have excoriated,erythematous areas.The NP should:

An NP student asks the primary care NP about guidelines for using topical steroids.The NP should tell the student that:

A primary care NP is performing a well-child checkup on an adolescent patient and notes approximately 20 papules and comedones and 10 pustules on the patient's face,chest,and back.The patient has not tried any over-the-counter products to treat these lesions.The NP should begin treatment with:

A primary care NP is preparing to irrigate and suture a laceration on a patient's thumb.To anesthetize the site,the NP should use: