An adolescent is prescribed tretinoin (Retin-A cream) as therapy for acne. What should the nurse instruct the patient about this medication?
A) Avoid unprotected sun exposure.
B) Apply the cream while the face is wet.
C) Avoid using the medication prior to bedtime.
D) Avoid applying the cream directly on lesions.
A
Feedback:
A common prescription medication for acne is tretinoin (Retin-A cream). This medication reduces keratin formation and plugging of ducts. Adolescents should be cautioned to avoid prolonged sun exposure and to use a sunblock of SPF 15 or higher because the preparation makes their skin more susceptible than usual to ultraviolet rays. This medication is not typically applied to a wet face. It can be used prior to bedtime. It should be applied directly to lesions.
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A nurse is caring for a patient who has recently moved from Vermont to south Florida. The patient has been on the same antihypertensive drug for 6 years and has had stable blood pressures and no adverse effects
Since her move, however, she reports "dizzy spells and weakness" and feels that the drug is no longer effective. The nurse suspects that the change in the effectiveness of the drug is related to A) the impact of the placebo effect on the patient's response. B) the accumulative effect of the drug if it has been taken for many years. C) the impact of the warmer climate on the patient's physical state. D) problems with patient compliance with the drug regimen due to the move.
You are caring for a 20 year-old patient with a diagnosis of cerebral palsy who has been admitted for the relief of painful contractures in his lower extremities. What does the nursing care of this patient depend on? (Mark all that apply.)
A) The age of the patient B) The patient's secondary diagnosis C) The type of procedure performed D) The changes in neurologic function due to the procedure E) Effectiveness in relieving the pain
A 57-year-old male comes to the clinic complaining that when he has an erection his penis curves and it is painful. The diagnosis is Peyronie's disease
The patient asks the nurse to explain what Peyronie's disease is. What would be the nurse's best response? A) "Peyronie's disease is really a fracture of the penis." B) "Peyronie's disease involves the buildup of fibrous plaques in the sheath of the corpus cavernosum." C) "Peyronie's disease involves a stricture in the penis." D) "Peyronie's disease involves priapism and the treatment is emergency surgery on the corpus cavernosum."