A patient has been treated for severe contact dermatitis on both arms with clobetasol propionate cream. At a follow-up visit, the primary care NP notes that the condition has cleared. The NP should:
a. prescribe triamcinolone cream for 2 weeks.
b. recommend continuing treatment for 2 more weeks.
c. discontinue the clobetasol and schedule a follow-up visit in 2 weeks.
d. discontinue the clobetasol and recommend prn use for occasional flare-ups.
A
Treatment should be discontinued when the skin condition has resolved. Tapering the corticosteroid will prevent recurrence of the skin condition. Tapering is best done by gradually reducing the potency and dosing frequency at 2-week intervals. This patient was on a very high potency steroid, so changing to a medium frequency with follow-up in 2 weeks is an appropriate action. Discontinuing the steroid abruptly can lead to recurrence.
You might also like to view...
Some key benefits of adopting quality improvement methods and principles are:
a. empowering staff and providing an outlet for critical theory b. viewing every problem as an opportunity to improve, and improving staff satisfaction c. decreasing necessary expenses from lost business, and helping customers think you care about them d. involving staff in how work is planned and done, and increasing the customer's perception that you care about them by designing processes that meet the provider's needs
Which of the following is classified as a patient behavior accident?
a. The patient sustained burns while smoking in the bathroom. b. The patient was given the wrong medication by a nurse. c. The patient fell while being transferred from the bed to the chair. d. The patient received a shock from electrocautery during surgery.
Which statement made by a client indicates an understanding of the education about insulin administration?
A. "I should only use a calibrated insulin syringe for the injections." B. "I should check my blood sugar immediately prior to administration of insulin." C. "I should use the abdominal area only for insulin injections." D. "I should provide direct pressure over the site following the injection."
Blood pressure depends on the
A. rate of the heartbeat. B. force of the heartbeat. C. respiratory rate. D. amount of oxygen in the blood.