RNVATI Adult Medical Surgical 2019

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A nurse is caring for a client who has atopic dermatitis and a prescription for

triamcinoloneointment. The nurse should assess the client to monitor for which of the

following adverse effects?

Increased pigmentation

Topical glucocorticoid therapy can cause the adverse effect of hypopigmentation.

Localized hair loss

Long-term glucocorticoid therapy can cause hypertrichosis, or excessive hair

growth,especially on the facial area.

Thinning of the skin

MY ANSWER

Thinning of the skin and delayed healing are adverse effects of topical glucocorticoid

preparations. The client should only apply the ointment to dry patches of the skin

becausetopical steroids can cause atrophy of the dermis and epidermis, which can result

in thinning of the skin.

Increased sensitivityto the sun

The nurse should instruct the client to avoid excessive sun exposure when taking

topicalfluticasone; however, triamcinolone ointment does not cause photosensitivity.

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RN VATI Adult Medical Surgical 2019

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