A 16-year-old patient is diagnosed with severe nodulocystic acne vulgaris and is to receive treatment with isotretinoin (Accutane). What patient education about medication side effects is appropriate for the nurse to provide? (Select all that apply
) a. "You should wear protective clothing or sunscreen when outside."
b. "This medication may cause nosebleeds."
c. "You may experience an increase in hair growth."
d. "You may experience dryness or itching of the skin and nose."
e. "You may experience sores in the mouth."
A, B, D
During treatment with isotretinoin, the patient's skin may become sensitized to ultraviolet light, therefore instructions to use sunscreen and wear protective clothing while outside are important. The nurse also should advise the patient that side effects associated with isotretinoin are nose-bleeds; inflammation of the lips and eyes; dryness or itching of the skin, nose, and mouth; and pain, tenderness or stiffness in muscles, bones, and joints.
A less common reaction is hair loss, not increased hair growth.
Isotretinoin does not cause sores in the mouth.
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