A client presents with a rash and is prescribed an over-the-counter ointment for treatment. The client says, "I thought I would need a shot or an expensive prescription." How should the nurse respond?
1. "Medications that go on your skin don't usually have as many side effects."
2. "Mild rashes often respond well to topical ointments."
3. "Many of the products used on the skin are available over-the-counter."
4. "You should try to discover what caused your rash."
5. "Prescription ointments are usually better at healing."
1,2,3,4
Rationale 1: Topical drugs should be used when applicable because they cause few adverse effects.
Rationale 2: Inflammation of the skin is best treated with topical medication if possible.
Rationale 3: Many products used on the skin are fairly inexpensive and are available over-the-counter.
Rationale 4: Inflammation is not a disease but is a symptom. The cause of the inflammation should be identified and treated. In this case, the client should avoid the offending substance.
Rationale 5: Many over-the-counter anti-inflammatory medications exist and do a good job of helping the client heal.
Global Rationale: Topical drugs should be used when applicable because they cause few adverse effects. Inflammation of the skin is best treated with topical medication if possible. Many products used on the skin are fairly inexpensive and are available over-the-counter. Inflammation is not a disease but is a symptom. The cause of the inflammation should be identified and treated. In this case, the client should avoid the offending substance. Many over-the-counter anti-inflammatory medications exist and do a good job of helping the client heal.
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