A client receives topical glucocorticoids for the treatment of dermatitis. The nurse has completed medication education and evaluates that learning has occurred when the client makes which statement?
1. "This lotion is a lot safer and more effective than a pill."
2. "Long-term use of this lotion can lead to dependence."
3. "If this medication doesn't help me, there is nothing left to try."
4. "A pill would be more effective than this messy lotion."
Correct Answer: 1
Rationale 1: Topical agents are less likely than oral medications to cause systemic effects, so they are safer and more effective.
Rationale 2: Dependence does not occur with glucocorticoids.
Rationale 3: If topical medications are ineffective, they can be augmented with oral agents.
Rationale 4: Topical agents, not oral agents, are the most effective treatment for dermatitis.
Global Rationale: Topical agents are less likely than oral medications to cause systemic effects, so they are safer and more effective. Dependence does not occur with glucocorticoids. If topical medications are ineffective, they can be augmented with oral agents. Topical agents, not oral agents, are the most effective treatment for dermatitis.
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