A client has been prescribed tretinoin (Retin-A). What will the nurse include in the client teaching? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. "Do not use this medication if pregnant."
2. "Avoid using vitamin C supplements."
3. "Increase intake of vitamin A."
4. "Avoid exposure to the sun."
5. "Do not take with oral contraceptives."
Correct Answer: 1, 4
Rationale 1: Retinoids are not recommended during pregnancy because of possible harmful effects to the fetus.
Rationale 2: "Avoid using vitamin C supplements" is incorrect because there is no restriction on vitamin C intake.
Rationale 3: "Increase intake of vitamin A" is incorrect because vitamin A supplements, which increase toxicity, should be avoided.
Rationale 4: A common reaction to retinoids is sensitivity to sunlight.
Rationale 5: "Do not take with oral contraceptives" is incorrect because sexually active females are encouraged to take oral contraceptives while on this medication because of its teratogenicity.
Global Rationale: Retinoids are not recommended during pregnancy because of possible harmful effects to the fetus. A common reaction to retinoids is sensitivity to sunlight. Avoid using vitamin C supplements" is incorrect because there is no restriction on vitamin C intake. "Increase intake of vitamin A" is incorrect because vitamin A supplements, which increase toxicity, should be avoided. "Do not take with oral contraceptives" is incorrect because sexually active females are encourages to take oral contraceptives while on this medication because of its teratogenicity.
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