A nurse assesses a young female client who is prescribed isotretinoin (Accutane). Which question should the nurse ask prior to starting this therapy?
a. "Do you spend a great deal of time in the sun?"
b. "Have you or any family members ever had skin cancer?"
c. "Which method of contraception are you using?"
d. "Do you drink alcoholic beverages?"
ANS: C
Isotretinoin has many side effects. It is a known teratogen and can cause severe birth defects. A pregnancy test is required before therapy is initiated, and strict birth control measures must be used during therapy. Sun exposure, alcohol ingestion, and family history of cancer are contraindications for isotretinoin.
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