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    Hesi rn d441 pharmacology 0A1 proctored exam

    A client with eczema receives a prescription for betamethasone cream. Which client statement indicates to the nurse that further teaching is needed?

    Explanation & Rationale

    A) Use the cream only on intact skin: This statement indicates proper understanding, as topical corticosteroids like betamethasone should not be applied to broken or infected skin to avoid systemic absorption and potential side effects. B) Cover the site with an occlusive dressing: This statement indicates a need for further teaching. While occlusive dressings can enhance the absorption of topical medications, they should be used cautiously and typically only under specific circumstances as directed by a healthcare provider. Overuse can lead to increased side effects or skin irritation. C) Limit exposure to direct sunlight: This statement shows awareness of the need for skin protection, which is important when using corticosteroids, as they can make the skin more sensitive to sunlight. D) Apply the cream to the area for 2 weeks: This statement is generally appropriate, as corticosteroids may be prescribed for short-term use to manage flare-ups. However, the exact duration should always be confirmed with a healthcare provider, so further clarification may be warranted, but it does not indicate a significant misunderstanding like option B does.

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