The nurse is providing education to a 24-year-old patient with severe nodulocystic acne vulgaris. The nurse anticipates treatment with isotretinoin (Accutane). The nurse is explaining the iP-LEDGE program to the patient
Which statement by the patient demonstrates a need for further teaching? a. "Pregnancy must be absolutely ruled out prior to starting the medication."
b. "I will receive oral and written warnings about the high risk of fetal harm if the medication is taken during pregnancy."
c. "I must use two effective forms of birth control."
d. "I will implement birth control measures at least 3 weeks prior to starting the me-dication."
D
The patient must begin using birth control measures at least 1 month prior to initiation of therapy and for 1 month after stopping therapy; this statement indicates that further teaching is needed.
These responses are consistent with the iPLEDGE program; further teaching is not needed.
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A patient received an implantable cardioverter-defibrillator (ICD). The nurse includes what instruction during discharge teaching for this patient?
1. "If a family member is in direct contact with you when the ICD discharges, he or she may experience a shock or tingling sensation." 2. "You can activate the ICD whenever you feel a change in your heart rhythm." 3. "The batteries of the ICD won't need to be replaced if the ICD never shocks the heart." 4. "There should be no discomfort if the ICD discharges, and you probably won't notice it."
A client has just lost her second baby to preterm complications. The best therapeutic response by the nurse is:
A) "I know how you feel. I have children of my own." B) "I am so sad for you. I'll stay with you for a while if you need to talk." C) "Didn't your doctor advise you about genetic counseling?" D) "Don't be so sad. You can always try again."
Postural drainage with percussion and vibration is ordered twice daily for a patient with chronic bronchitis. Which intervention should the nurse include in the plan of care?
a. Schedule the procedure 1 hour after the patient eats. b. Maintain the patient in the lateral position for 20 minutes. c. Perform percussion before assisting the patient to the drainage position. d. Give the ordered albuterol (Proventil) before the patient receives the therapy.
A new mother asks the nurse, "Why has my baby lost weight since he was born?" The nurse integrates knowledge of which of the following when responding to the new mother?
A) Insufficient calorie intake B) Shift of water from extracellular space to intracellular space C) Increase in stool passage D) Overproduction of bilirubin