Page 1253 - Saunders Comprehensive Review For NCLEX-RN

permeability is poor (back, palms, soles). The nurse should avoid areas of higher
absorption to prevent systemic absorption.
Test-Taking Strategy: Focus on the subject, permeability and the potential for
increased systemic absorption. Eliminate options 2 and 3, because these body areas
are comparable or alike in terms of skin substance. From the remaining options,
think about permeability of the skin area. This should direct you to the correct
options.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Implementation
Content Area: Pharmacology: Integumentary: Antiinflammatory/Antiinfective
Health Problem: Adult Health: Integumentary: Inflammations/Infections
Priority Concepts: Safety; Tissue Integrity
Reference: Burchum, Rosenthal (2016), p. 1279.

440. Answer: 1

Rationale: Azelaic acid is a topical medication used to treat mild to moderate
acne. Adverse effects include burning, itching, stinging, redness of the skin, and
hypopigmentation of the skin in clients with a dark complexion. The effects noted in
the other options are not specifically associated with this medication.
Test-Taking Strategy: Focus on the subject, an effect associated with the use of
azelaic acid. Focusing on the name of the medication and recalling that acne
medications commonly cause local irritation will direct you to the correct option.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pharmacology: Integumentary: Acne Products
Health Problem: Adult Health: Integumentary: Inflammations/Infections
Priority Concepts: Clinical Judgment; Tissue Integrity
Reference: Skidmore-Roth (2017), pp. 1286-1287.

441. Answer: 4

Rationale: Silver sulfadiazine is an antibacterial that has a broad spectrum of
activity against gram-negative bacteria, gram-positive bacteria, and yeast. It is
applied directly to the wound to assist in healing. It does not cause stinging when
applied.
Test-Taking Strategy: Note the strategic words, need for further teaching. These
words indicate a negative event query and ask you to select an option that is an
incorrect statement. Recalling the characteristics of this medication will assist in
answering correctly.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Pharmacology: Integumentary: Burn Products
Health Problem: Adult Health: Integumentary: Burns

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