A patient has severe acne that has been refractory to treatment. The patient is taking tetracycline and using topical tretinoin (Retin-A) and has been applying benzoyl peroxide twice daily
The provider asks the nurse to teach this patient about isotretinoin (Accutane), which the patient will begin taking in a few weeks. The nurse will include which statement when teaching this patient about this drug?
a. "Alcohol may be consumed in moderation when taking this drug."
b. "Skin rash, headache, and hair loss are common with this drug."
c. "Tetracycline must be discontinued before beginning the isotretinoin."
d. "Two pregnancy tests are required before each monthly refill of your prescription."
ANS: C
Adverse effects of isotretinoin can be increased by tetracyclines, so tetracycline must be discontinued before therapy is started. Alcohol should be avoided, since it can potentiate hypertriglyceridemia. Skin rash, headache, and hair loss are not common side effects, although they can occur. Two pregnancy tests are required at the beginning of therapy; at each refill, only one pregnancy test is required.
You might also like to view...
When checking laboratory values on a client recovering from a fracture of the left femur, the nurse should expect to find which of the following changes?
1. A decrease in erythrocyte sedimentation rate (ESR) 2. An increase in uric acid 3. An increase in alkaline phosphatase 4. A positive antinuclear antibody (ANA)
A patient with liver cancer is being discharged home with a hepatic artery catheter in place. The nurse should be aware that this catheter will facilitate which of the following?
A) Continuous monitoring for portal hypertension B) Administration of immunosuppressive drugs during the first weeks after transplantation C) Real-time monitoring of vascular changes in the hepatic system D) Delivery of a continuous chemotherapeutic dose
In order to control health-care costs, the consumer can:
a. decide never to file a medical lawsuit. b. make sure that his or her provider is within close proximity. c. shop around for lower cost quality health care. d. work with managed care companies supplying health-care services.
Infants have a substance in their lungs, surfactant. What is role of surfactant in the respiratory system?
A) Expands the lungs with breaths B) Keeps alveoli from collapsing with breaths C) Removes fluid from the lungs D) Allows oxygen to move in the lungs