The client with psoriasis is being treated with calcipotriene (Dovonex) cream. Administration of high doses of this medication can cause which side effect?
1. Alopecia
2. Hyperkalemia
3. Hypercalcemia
4. Thinning of the skin
3
Rationale: Calcipotriene (Dovonex), an analogue of vitamin D3, is indicated for mild to moderate psoriasis. Responses are equal to those achieved with medium-potency topical glucocorticoids. The most common adverse effect is local irritation. Unlike glucocorticoids, calcipotriene does not cause thinning of the skin. At high doses, calcipotriene has caused hypercalcemia. Hyperkalemia is not a side effect.
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A) Trendelenburg B) Prone C) Dorsal recumbent D) Lithotomy
When the client questions why the chemotherapeutic drug is being administered by intracavitary instillation, the nurse could best answer by explaining that this approach is a
a. cost-effective and more rapidly-acting method of treatment. b. diffuse method of systemic administration that avoids side effects. c. means to allow high concentrations of drugs to be directed at the tumor. d. non-invasive method of administration.
A nurse working with adolescents recognizes which factor as being of greatest importance to this age group?
a. Normal growth and development b. Peer relationships c. Career selection d. Child rearing
At a health screening clinic, a nurse is educating a young woman about breast self-examination (BSE). The nurse determines that the client demonstrates understanding when she states that:
A. BSE must be performed every other month B. BSE is performed on the day menstruation begins C. Monthly BSE is the only way to ensure early detection of breast cancer D. Monthly BSE includes inspection before a mirror and palpation both in the shower and while lying down