A client uses triamcinolone, a corticosteroid ointment, to manage pruritus caused by a chronic skin rash. The client calls the clinic nurse to report increased erythema with purulent exudate at the site. Which action should the nurse implement?

A client uses triamcinolone, a corticosteroid ointment, to manage pruritus caused by a chronic skin rash. The client calls the clinic nurse to report increased erythema with purulent exudate at the site. Which action should the nurse implement?

• A. Explain that the client needs to complete all prescribed doses of the medication.
• B. Schedule an appointment for the client to see the healthcare provider.
• C. Instruct the client to continue the ointment until all erythema is relieved.
• D. Advise the client to apply plastic wrap over the ointment to promote healing.

Answer: (B)

When a client using a topical corticosteroid develops new redness with purulent drainage, it suggests a secondary infection or complication rather than simple irritation. Topical steroids can mask symptoms while weakening local immune response, so this new purulent exudate signals that medical assessment is needed. The best next step is to schedule an appointment with the healthcare provider. A clinician can evaluate the infection, determine if cultures or antibiotics are needed, and decide whether the corticosteroid therapy should be adjusted or stopped. Avoid continuing the ointment unchanged or using occlusive coverings. Completing prescribed doses won’t address an infection, and occluding the area can worsen infection or increase corticosteroid absorption.

When a client using a topical corticosteroid develops new redness with purulent drainage, it suggests a secondary infection or complication rather than simple irritation. Topical steroids can mask symptoms while weakening local immune response, so this new purulent exudate signals that medical assessment is needed.

The best next step is to schedule an appointment with the healthcare provider. A clinician can evaluate the infection, determine if cultures or antibiotics are needed, and decide whether the corticosteroid therapy should be adjusted or stopped.

Avoid continuing the ointment unchanged or using occlusive coverings. Completing prescribed doses won’t address an infection, and occluding the area can worsen infection or increase corticosteroid absorption.