A teenager is taking isotretinoin (Accutane) for treatment of severe acne. The nurse has completed medication education with her mother and evaluates additional learning is required when the mother makes which statement?

Question

1. "We can expect that her skin will be less oily."
2. "She needs to be on a reliable method of birth control now."
3. "At least I do not need to worry about her self-concept now."
4. "I will pay particular attention to her mood now."

Answer 1

3
Rationale 1: Isotretinoin (Accutane) decreases oil production.
Rationale 2: Isotretinoin (Accutane) is Pregnancy Category X.
Rationale 3: Isotretinoin (Accutane) can cause severe depression with resulting suicidal ideation; the mother needs to talk to her daughter about her self-concept.
Rationale 4: Severe depression with resulting suicidal ideation can be caused by this drug; the mother must pay attention to her mood.
Global Rationale: Isotretinoin (Accutane) can cause severe depression with resulting suicidal ideation; the mother needs to talk to her daughter about her self-concept. Severe depression with resulting suicidal ideation can be caused by this drug; the mother must pay attention to her mood. Isotretinoin (Accutane) decreases oil production. Isotretinoin (Accutane) is Pregnancy Category X.