A primary care NP prescribes fluocinolone cream for a patient who has contact dermatitis. At a follow-up visit in 2 weeks, the patient reports decreased pruritus but continues to have excoriated, erythematous areas. The NP should:
a. obtain a culture of the skin to monitor for superinfection.
b. discontinue the fluocinolone and order betamethasone cream.
c. begin gradually tapering the fluocinolone at 2-week intervals.
d. tell the patient to continue using the fluocinolone for 3 to 4 more weeks.
D
The risk of adverse effects is less if group II steroids are used for less than 6 to 8 weeks. If the condition is responding to treatment, and there are no signs of adverse effects, the NP should recommend continuing use. The patient does not have exudative lesions, so a culture is not necessary.
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After discussing nurse-managed care centers with a group of community health nursing students, the instructor determines that the teaching was effective when the students identify which of the following as one of the main challenges?
A) Ensuring adequate populations for services B) Exerting a positive influence on community's health C) Continuing services after funding has stopped D) Managing the multitude of services provided
Which goal is appropriate for a person attempting to control cholesterol and low-density lipoprotein levels?
1. Limit cholesterol intake to less than 200 mg daily. 2. Limit saturated fat intake to less than 15% of total calories. 3. Limit dietary fat to less than 50% of total calories. 4. Increase plant sterol intake to 1–2 grams daily.
Your health care facility requires you to chart using international time. Your entry for 12:15 PM should document which of the following times?
A. 1215 B. 2415 C. 0015 D. 0215
List the nine beginning procedure actions.
What will be an ideal response?