A client is diagnosed with acute allergic contact dermatitis over 25% of the body. Which prescription does the nurse anticipate for the client?
A) Calamine lotion to affected skin area as needed
B) Topical steroids applied twice a day for 2 to 3 weeks
C) Cool compresses with Burow's solution twice a day
D) Oral steroids for 7 to 10 days
Answer: D
Acute allergic contact dermatitis that covers more than 10% of the body surface area will require treatment with oral steroids for 7 to 10 days. Topical steroids are applicable when the affected area is less than 10% of the total body surface area. Calamine lotion and Burow's solution are indicated in the treatment of irritant contact dermatitis.
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