A client is ordered to receive isotretinoin. What is a priority diagnostic test for the nurse to complete before beginning therapy?

a. Blood glucose level
b. Pregnancy test
c. Serum electrolytes
d. Complete blood count


ANS: B
Isotretinoin is highly teratogenic and includes strict guidelines related to ensuring safe use. Female clients who are sexually active will be asked to take a pregnancy test.

Nursing

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A patient that is of the American Indian culture is waiting to be seen in a non-Indian Health Service facility. What concern might this patient have about receiving health care through this route?

A. Conflict between his or her perception of the illness and what the physician diagnoses B. Easier to receive medical care through emergency departments rather than private physicians C. Receive better health care from mainstream medical services D. Concern that medical insurance won't cover all the medical costs

Nursing

The nurse teaching a high school class explains that during the menstrual cycle, the endometrial glands begin to enlarge under the influence of estrogen and cervical mucosal changes occur; the changes peak at ovulation

In which phase of the menstrual cycle does this occur? 1. Menstrual 2. Proliferative 3. Secretory 4. Ischemic

Nursing

The preop patient will be receiving glycopyrrolate (Robinul), an anticholinergic drug, and asks the nurse, "Why do I need to have that shot?" What is the best response by the nurse?

1. "It will decrease your respiratory secretions during surgery." 2. "It will increase your urinary output during surgery." 3. "It will help you breathe better during surgery." 4. "It will help maintain your blood pressure during surgery."

Nursing

A newborn is not breathing shortly after delivery. Which should be your first action?

A) Check for a pulse. B) Provide supplemental oxygen. C) Stimulate the infant by rubbing the infant's back. D) Use a bag-mask device.

Nursing