The client with muscle aches and a diagnosis of rheumatism has been given a prescription for capsaicin topical cream. The nurse evaluates that the client understands the use of the medication if the client states that:
1. The medication will act as a local analgesic.
2. The medication acts by decreasing muscle spasms.
3. The medication will cause redness, flaking, and the skin to peel.
4. A heating pad should be put on the area after applying the medication.
1
Rationale: Capsaicin is used for the temporary relief of muscular aches, rheumatism, arthritis, sprains, and neuralgia. It is one of a group of products known as rubs or liniments, which contain combinations of antiseptics, local anesthetics, analgesics, and counterirritants. The skin should not become red, flaky, or peel; if this occurs, the physician should be notified. The medication does not act systemically. A heating pad should not be applied, because it could cause skin irritation or burning.
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