The dermatologist treating a 16-year-old girl with a history of severe acne has ordered a pregnancy test so she can be started on a course of isotretinoin. The teen's caregiver has said that her daughter is a virgin and she refuses to allow her to have the required pregnancy testing. What should the nurse do?
A) Acknowledge the caregiver's discomfort about the pregnancy testing but encourage her to allow the daughter to have the testing so that she can use the medication
B) Speak with the teen alone to ask her if she is sexually active. If she says she is not sexually active, let the provider know that it is okay to write the prescription
C) Arrange for the daughter to have the pregnancy testing without the caregiver's knowledge
D) Have the caregiver sign a permission form acknowledging that the girl has been given the drug without pregnancy testing
Answer: A
Isotretinoin is a pregnancy category X drug: It must not be used at all during pregnancy because of serious risk of fetal abnormalities. To rule out pregnancy, a urine test is done before beginning treatment. For the sexually active adolescent girl, an effective form of contraception must be used for a month before beginning and during isotretinoin therapy. The risk to the fetus, should pregnancy occur, should be discussed with the girl whether she is sexually active or not.
You might also like to view...
A nurse has included the nursing diagnosis of Risk for Latex Allergy Response in a patient's plan of care. The presence of what chronic health problem would most likely prompt this diagnosis?
A) Herpes simplex B) HIV C) Spina bifida D) Hypogammaglobulinemia
A form of documentation developed for each patient known as a(n) ____________________ serves to provide a daily plan of action that communicates a patient's problems, what interventions are to be performed for each problem, and the effectiveness of each i
Fill in the blank with correct word.
The 93-year-old woman with chronic back pain is found crying. When the nurse approaches, the patient says, "I know you can't do anything more, but I hurt so bad." What nursing intervention would be most effective?
a. Bring pain medication when it is time for it. b. Assure the patient that the pain medication will take effect soon. c. Touch the patient's shoulder and sit quietly without speaking. d. Distract the patient by offering a sip of water.
What principles were used in the creation of the Healthy Cities movement? (Select all that apply.)
a. Primary care b. Equity in health promotion c. Community participation d. High technologic environments e. Relationship building