Question

A client with dermatitis has been prescribed a topical corticosteroid for use on the affected areas, and the nurse has reinforced instructions about the use of this medication. Which statement by the client indicates a need for further teaching?

A) "I will apply the medication sparingly and avoid using it on large areas."
B) "I will wash my hands thoroughly after applying the medication."
C) "I understand that I should avoid applying the medication to my face unless my healthcare provider instructs otherwise."
D) "I will apply a bandage over the site after applying the medication."

Answer 1

The client should be advised that applying a bandage over the site after using a corticosteroid is not recommended unless directed by a healthcare provider. Topical corticosteroids like hydrocortisone are used to reduce symptoms, but they do not treat the underlying cause of dermatitis.

Step-by-step explanation:

The statement by the client that indicates a need for further teaching is D) "I will apply a bandage over the site after applying the medication." This is because occlusive dressings or bandages should not be applied over corticosteroid creams unless specifically instructed by a healthcare provider, as such coverings can increase the absorption of the medication and potentially lead to more side effects. It is essential to advise the client to allow the affected skin to breathe, unless otherwise directed by their healthcare provider.

Topical corticosteroids, such as hydrocortisone, are typically prescribed to reduce inflammation and relieve symptoms like itching and rashes. However, they do not treat the underlying cause of the dermatitis but rather suppress the immune system's response to reduce symptoms. Therefore, while corticosteroids can provide symptom relief, the cause of the dermatitis should be identified and avoided.