A client has been prescribed a topical antifungal medication for treatment of ringworm. What teaching should the nurse provide?

Question

1. Avoid alcohol while using this medication.
2. Scrub the area vigorously prior to applying the medication.
3. Cover the area with an occlusive dressing after applying the medication.
4. Apply a thin layer of the medication.
5. After applying the medication, let the area air-dry.

Answer 1

4,5
Rationale 1: Oral antifungal medications require avoidance of alcohol. The same is not true of topicals.
Rationale 2: Vigorous scrubbing should be avoided.
Rationale 3: Occlusive dressings should be avoided.
Rationale 4: Only a thin, even layer is necessary.
Rationale 5: The area should be allowed to air-dry, and loose-fitting clothing should be worn.
Global Rationale: Only a thin, even layer is necessary. The area should be allowed to air-dry, and loose-fitting clothing should be worn. Oral antifungal medications require avoidance of alcohol. The same is not true of topicals. Vigorous scrubbing should be avoided. Occlusive dressings should be avoided.