A patient comes to the clinic to receive a Botox injection in her forehead. The patient has adult acne across her forehead. What is the nurse's priority action?
A) Hold the injection and consult the health care provider.
B) Cleanse the area well with an antibacterial soap.
C) Apply a topical antibiotic after administering the Botox.
D) Provide patient information about post-Botox injection care.
A
Feedback:
Botulinum toxins should not be injected into any area with an active infection because of the risk of exacerbation of the infection. As a result, the nurse would hold the injection and consult with the physician, with the expectation the medication would be held until the acne resolved. Cleansing the area well, applying a topical antibiotic, and providing information about postinjection care would not resolve the problem and are not indicated.
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