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    Hesi rn 315 pharmacology 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. Apply the cream to the area for 2 weeks: Short-term use of topical corticosteroids like betamethasone is appropriate to reduce inflammation and itching. Using it for around 2 weeks helps control symptoms while minimizing the risk of adverse effects like skin thinning or systemic absorption. B. Limit exposure to direct sunlight: Topical corticosteroids can make the skin more sensitive to UV radiation, increasing the risk of sunburn or irritation. Limiting sun exposure while using betamethasone is a correct precaution and demonstrates good understanding. C. Use the cream only on intact skin: Betamethasone should be applied only to intact skin because using it on broken or infected areas can increase systemic absorption and raise the risk of side effects. This practice reflects safe and proper medication use. D. Cover the site with an occlusive dressing: Occlusive dressings significantly increase the absorption of topical steroids, raising the risk of local and systemic side effects like thinning of the skin, adrenal suppression, or infection. Unless specifically directed by the healthcare provider, occlusion should generally be avoided.

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