Tretinoin (Retin-A) is a commonly used topical agent for the treatment of acne. What do nursing considerations with this drug include?
a. Sun exposure increases effectiveness.
b. Cosmetics with lanolin and petrolatum are preferred in acne.
c. Applying of the medication occurs at least 20 to 30 minutes after washing.
d. Erythema and peeling are indications of toxicity and need to be reported.
ANS: C
The medication should not be applied for at least 20 to 30 minutes after washing to decrease the burning sensation. The avoidance of sun and the use of sunscreen agents must be emphasized because sun exposure can result in severe sunburn. Cosmetics with lanolin, petrolatum, vegetable oil, lauryl alcohol, butyl stearate, and oleic acid can increase comedone production. Erythema and peeling are common local manifestations.
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