A 16-year-old patient is diagnosed with severe nodulocystic acne vulgaris and is to receive treatment with isotretinoin (Accutane). What patient education about medication side effects is appropriate for the nurse to provide?
(Select all that apply.)
a. "You should wear protective clothing or sunscreen when outside."
b. "This medication may cause nosebleeds."
c. "You may experience an increase in hair growth."
d. "You may experience dryness or itching of the skin and nose."
e. "You may experience sores in the mouth."
ANS: A, B, D
During treatment with isotretinoin, the patient's skin may become sensitized to ultraviolet light, therefore instructions to use sunscreen and wear protective clothing while outside are important. The nurse also should advise the patient that side effects associated with isotretinoin are nosebleeds; inflammation of the lips and eyes; dryness or itching of the skin, nose, and mouth; and pain, tenderness or stiffness in muscles, bones, and joints.
A less common reaction is hair loss, not increased hair growth.
Isotretinoin does not cause sores in the mouth.
You might also like to view...
The nurse cares for an adolescent patient who is dying. The patient's parents are interested in organ donation and ask the nurse how the decision about brain death is made. Which response by the nurse is most appropriate?
a. "Brain death occurs if a person is flaccid and unresponsive." b. "If CPR is ineffective in restoring a heartbeat, the brain cannot function." c. "Brain death has occurred if there is no breathing and certain reflexes are absent." d. "If respiratory efforts cease and no apical pulse is audible, brain death is present."
In NIH's review procedure, the study section assigns priority (intensity) scores only to applications judged to be in the top half of proposals based on a preliminary appraisal by assigned reviewers. What is the lowest possible ranking?
A) 1 B) 10 C) 50 D) 90
A nursing student comes to the university health center complaining of a sore throat, malaise, and loss of appetite. The nurse assesses the student and determines she has large white yellow exudates in the back of the throat and a fever
The student is presenting with a/an A) Infectious disease B) Viral illness C) Throat mass D) Mononucleosis
What is the most serious, life-threatening complication of AAA and why?
What single problem mentioned at the beginning of this case study presents a risk for AAA rupture? Why?