A patient diagnosed with psoriasis is being treated with topical corticosteroids. How should the nurse instruct the patient to apply the medication?

1. Apply the medication in a thin layer.
2. Avoid rubbing the medication into the skin.
3. Dry the skin thoroughly before applying the medication.
4. Continue the medication even if lesions worsen, because it is only a temporary reaction.


1
Rationale 1: Topical corticosteroids should be applied in a thin layer.
Rationale 2: Topical corticosteroids should be rubbed in thoroughly.
Rationale 3: Topical corticosteroids should be applied to wet skin.
Rationale 4: Some infections may be made worse by corticosteroids. If the lesions worsen, the medication should be discontinued and the health care provider notified.

Nursing

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The nurse is providing teaching for a patient who will use intranasal dexamethasone (Decadron) after discharge home from the hospital. What information is important to include when teaching this patient about this drug?

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