Moderate

A patient uses a prescribed topical corticosteroid under an occlusive plastic dressing. Which finding should the nurse recognise as a possible concern?

Correct answer: A. Greater systemic absorption of the medication

  • A. Greater systemic absorption of the medication
  • B. Complete prevention of medication absorption
  • C. A predictable reduction in local medication effect
  • D. A lower risk of skin irritation at the application site

Explanation

Occlusion can increase skin hydration and greatly increase absorption of some topical medicines. This may raise the risk of local and systemic adverse effects, especially with potent corticosteroids.

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About Routes and Safe Medication Administration

Safe medication administration covers oral, sublingual, buccal, topical, inhaled, enteral, intradermal, subcutaneous and intramuscular routes, including their absorption patterns and technique. It also includes medication rights, patient identification, documentation, allergy checks, injection site selection and prevention of errors, with route selection distinguished from dosage calculation.

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