The nurse is providing education to a 21-year-old construction worker who is being treated for severe acne. The prescriber orders isotretinoin (Accutane) as treatment for the acne. Which instruction is most pertinent for the nurse to provide?
a. "Wear protective clothing when in the sun."
b. "Use abrasive soap to aid in desquamation."
c. "Discontinue use of the drug if flaking of the skin occurs."
d. "Wear sunglasses as protection against photophobia."
ANS: A
The patient should be instructed to wear protective clothing when in the sun, because isotretinoin may make the skin sensitive to ultraviolet light.
An abrasive soap is not indicated with this treatment and may cause further irritation.
Isotretinoin is expected to cause some flaking; it should not be discontinued.
Photophobia is not an adverse effect of isotretinoin.
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