Pediatric Nursing Q 166
Hydrocortisone cream 1% is given to a child with eczema. The nurse gives instruction to the mother to apply the cream by?
A. Apply a thin layer of cream and spread it into the area thoroughly.
B. Avoid cleansing the area before the application.
C. Apply a thick layer of the cream to affected areas only.
D. Apply the cream to other areas to avoid occurrence.
Correct Answer: A. Apply a thin layer of cream and spread it into the area thoroughly.
Topical corticosteroids are administered sparingly and rubbed into the area thoroughly. Topical steroid creams and ointments should be applied in a thin layer and massaged into the affected area.
Option B: The area should be cleaned first before administration. Because topical steroids can cause side effects, the spacing of intermittent applications should be discussed with a healthcare provider before proceeding.
Option C: Different surfaces of the skin absorb topical steroids differently. Therefore the strength of the steroid should correspond to the type of skin where it is to be applied. The greater the steroid group number, the greater the risk of side effects.
Option D: Rubbing it in other areas will likely lead to systemic absorption. Infants and young children have skin that absorbs topical steroids more readily, also requiring a low-potency steroid.