Pharmacological and Parenteral Therapies Q 100
Nurse Maria plans to administer dexamethasone cream to a female client who has dermatitis over the anterior chest. How should the nurse apply this topical agent?
A. With a circular motion, to enhance absorption.
B. With an upward motion, to increase blood supply to the affected area.
C. In long, even, outward, and downward strokes in the direction of hair growth.
D. In long, even, outward, and upward strokes in the direction opposite hair growth.
Correct Answer: C. In long, even, outward, and downward strokes in the direction of hair growth
When applying a topical agent, the nurse should begin at the midline and use long, even, outward, and downward strokes in the direction of hair growth. This application pattern reduces the risk of follicle irritation and skin inflammation.
Option A: This type of application may contaminate the areas which are clean and irritate the skin.
Option B: An upward motion does not increase blood supply to the affected area; the goal is to reduce irritation of the skin and follicles.
Option D: The strokes should be downward in the direction of hair growth.