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 iPLEDGE 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 medication."
ANS: 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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The nurse caring for a child is explaining to the mother about development. At what age would the nurse tell the mother the superego starts developing?
A) 1–2 years B) 2–3 years C) 3–4 years D) 4–5 years
A patient reports finding information about a health problem on Wikipedia. The nurse should realize that which of the following describes a wiki?
A) A shared online resource B) Social media site C) A pop-up D) SPAM
The perinatal nurse teaches the student nurse about conditions that may require immediate newborn assessment during the transitional period. These conditions include:
Select all answers that apply. A) a heart rate of 112 beats per minute. B) an infant born at 36 +2 weeks gestation. C) a respiratory rate of 62 breaths per minute. D) the presence of nasal flaring.
Protein restriction helps slow the progression of albuminuria, glomerular filtration rate, decline, and end stage renal disease in some patients with diabetes. It is useful for patients who:
1. Cannot tolerate angiotensin converting enzyme inhibitors or angiotensin receptor blockers 2. Have uncontrolled hypertension 3. Have HbA1C levels above 7% 4. Show progression of diabetic nephropathy despite optimal glucose and blood pressure control