A client has been prescribed tretinoin (Retin-A). What will the nurse include in the client teaching?(Select all that apply.)

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."


1, 4

Rationale 1: Retinoids are not recommended during pregnancy because of possible harmful effects to the fetus.
Rationale 2:There is no restriction on vitamin C intake.
Rationale 3:Vitamin A supplements, which increase toxicity, should be avoided.
Rationale 4: A common reaction to retinoids is sensitivity to sunlight.
Rationale 5: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.

Nursing

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As part of the admission process, the nurse asks several questions about family relationships. The nurse bases these actions on which rationale?

A) Assessing family relationships is an initial step in including the family in patient care. B) These questions are part of the admission assessment tool required by this CCU. C) The nurse has a natural curiosity and wishes to know how the family members relate for her own knowledge. D) There is an ongoing research study to identify variant family patterns related to disease incidence.

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Nurse Stacey is a self-admitted drug addict and has been a heavy abuser of codeine. Stacey and the unit manager decide that changes have to occur

Stacey enrolls in an addiction program, and the manager has her transferred to a drug-free area. What other strategies might be appropriate? a. The manager could refer Stacey to the Human Resources Department. b. The manager could assist in monitoring Stacey's progress. c. The manager could counsel Stacey if Stacey has formed a trusting relationship with her. d. Stacey needs to be asked not to involve her family in the recovery program because this is a work-related situation.

Nursing

Who do you need to communicate with to minimise the risk of the procedure being delayed or cancelled due to lack of support issues? Explain your answer

Mr Thomas informs the nurse at the pre-admission clinic that he has no support person available to help him after his forthcoming day surgery under a general anaesthetic. What will be an ideal response?

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In the context of cardiac nerve supply, the sympathetic nervous system:

A. has little effect on myocardial contraction. B. becomes active when the body needs to expend energy during the "fight or flight" reaction. C. decreases the activity of the SA node, the AV node, and the myocardium. D. releases the neurotransmitter acetylcholine.

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