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    Hesi bsn 315 rn pharmacology 35504 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: Topical corticosteroids like betamethasone should not be applied to open wounds or infected areas, as this can delay healing and worsen infection risk. Using it only on intact skin is an appropriate precaution. B. Apply the cream to the area for 2 weeks: Betamethasone is typically prescribed for short-term use, often 1–2 weeks, to minimize the risk of skin thinning and systemic absorption. This duration aligns with safe therapy guidelines. C. Limit exposure to direct sunlight: Corticosteroid use can make the skin more sensitive to sunlight and increase the risk of irritation. Limiting sun exposure is an appropriate preventive measure. D. Cover the site with an occlusive dressing: Occlusive dressings significantly increase absorption of topical corticosteroids, raising the risk of local and systemic side effects. This method should only be used if specifically ordered by the healthcare provider.

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