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: Topical corticosteroids like betamethasone are generally prescribed for short-term use to avoid skin thinning and systemic absorption. A 2-week course is consistent with safe practice. B. Limit exposure to direct sunlight: Betamethasone can increase skin sensitivity to sunlight, so minimizing sun exposure helps prevent irritation or phototoxic reactions. This is appropriate and safe advice for clients using the medication. C. Use the cream only on intact skin: Applying topical corticosteroids to broken skin increases absorption and the risk of adverse effects. Restricting use to intact skin is helps prevent complications such as infection or excessive systemic absorption. D. Cover the site with an occlusive dressing: Occlusive dressings can greatly increase the absorption of corticosteroids, leading to higher risk of local and systemic side effects. This method should only be used if specifically directed by the healthcare provider.