What value will require periodic monitoring for the client taking isotretinoin/13-cis-retinoic acid (Accutane)?
1. Blood pressure
2. Blood levels of vitamin A
3. Triglycerides
4. Heart rate
Correct Answer: 3
Rationale 1: Accutane does not increase blood pressure.
Rationale 2: Blood levels of vitamin A is incorrect because liver function should also be monitored in clients taking Accutane.
Rationale 3: Increased serum concentrations of triglycerides (by 50-70 percent) can occur in clients taking Accutane. This is a highly toxic metabolite of retinol or vitamin A, and must be used carefully.
Rationale 4: Accutane does not increase heart rate.
Global Rationale: Increased serum concentrations of triglycerides (by 50—70 percent) can occur in clients taking Accutane. This is a highly toxic metabolite of retinol or vitamin A, and must be used carefully. Accutane does not increase blood pressure. Blood levels of vitamin A is incorrect because liver function should also be monitored in clients taking Accutane. Accutane does not increase heart rate.
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