An adolescent client with severe cystic acne has been prescribed isotretinoin (Accutane). Which statement by the client would suggest the need for further teaching?
1. "I will return to the clinic for blood tests."
2. "If my lips begin to burn, it is probably because of the medication."
3. "My eyes may become dry and burn as a result of the medication."
4. "I need to take my vitamin A supplement so that the treatment will work."
4
Rationale: Isotretinoin (Accutane) is used to inhibit inflammation in the client with severe cystic acne. Adverse effects include elevated triglyceride levels, skin dryness, and eye discomfort, such as dryness and burning. Lip inflammation, called cheilitis, can also occur. Vitamin A supplements are stopped during this treatment because of their additive effects.
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