Topical corticosteroid therapy has been ordered for a patient with pruritus. What information should be incorporated into the plan of care for this patient?

Correct Answer: C

Rationale: Step 1: Topical corticosteroids can lead to local side effects such as skin atrophy and thinning. Step 2: Incorporating this information into the plan of care is crucial to monitor and prevent these adverse effects. Step 3: Choice A is incorrect as applying liberally can increase the risk of side effects. Step 4: Choice B is incorrect as absorption is actually enhanced when skin is moist, not dry. Step 5: Choice D is incorrect as occlusive dressings can increase absorption of corticosteroids, not decrease it.

Correct Answer: B

Rationale: The correct answer is B: Edema formation. Third spacing in a burn injury refers to the accumulation of fluid in the interstitial spaces, causing swelling. In a burn injury, the damaged capillaries leak fluid into the surrounding tissues, leading to edema formation. Blister formation (A) is an example of first spacing, where fluid accumulates in the epidermal layer. Fluid mobilization (C) is not related to third spacing but rather refers to the movement of fluids within the body. Fluid accumulation as second spacing (D) is incorrect because second spacing involves normal distribution of fluid within the intravascular and interstitial spaces, not excessive accumulation in the interstitial spaces as seen in third spacing.

Correct Answer: A

Rationale: The correct answer is A: Presence of nonintact skin. In stage 2 pressure ulcers, the skin is partially lost, forming an open wound with a shallow crater. This distinguishes it from stage 1, where only intact but reddened skin is present. Choices B, C, and D are incorrect because they describe features associated with stages 4, 3, and 1 pressure ulcers, respectively. Sinus tracts and extensive tissue damage characterize stage 4 ulcers, while damage to subcutaneous tissues is seen in stage 3 ulcers. Reddened skin over bony prominences is indicative of stage 1 pressure ulcers.

Correct Answer: A

Rationale: The correct answer is A: Anterior. "Anterior" is used to describe the front of the body. This term is commonly used in anatomical language to indicate a position closer to the front of the body. In contrast, "posterior" (choice D) refers to the back of the body, "lateral" (choice B) refers to the side of the body, and "dorsal" (choice C) refers to the back side of an organism. Therefore, in this context, "anterior" is the most appropriate term to describe a location towards the front of the body.

Correct Answer: C

Rationale: The correct answer is C: Isotonic. Solutions with equal solute concentration have the same osmotic pressure, allowing for balanced movement of water in and out of cells. This prevents cells from shrinking or swelling. Volumetric (A) refers to measurement, hypertonic (B) means higher solute concentration, and metabolic (D) pertains to biochemical reactions, making them all unrelated to the concept of equal solute concentration.