Practice Quiz

NCLEX-PN

Category - Pharmacological Therapies

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The nurse is ordered to administer hydrocortisone cream to a client admitted with contact dermatitis. Which of the following actions by the nurse is the most appropriate when applying the medication?
  1. The nurse spreads a thick layer of hydrocortisone cream on the affected skin area
  2. Wash the area with soap and water before application
  3. Hydrocortisone cream is applied sparingly to the skin area
  4. Wash the affected area frequently
Explanation
Answer: C - Hydrocortisone cream must be spread in a thin layer onto the skin. Thick layers result in systemic absorption side effects such as hyperglycemia and glucosuria. The skin area is washed with plain water; soaps and frequent washing of the skin are avoided as they can cause skin dryness.
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