Tretinoin (Retin-A) is a topical agent commonly used to treat acne. Nursing considerations with this drug should include:

a. teaching to avoid use of sunscreen agents.
b. applying generously to the skin.
c. explaining that medication should not be applied until at least 20 to 30 minutes after washing.
d. explaining that erythema and peeling are indications of toxicity.


ANS: C
The medication should not be applied for at least 20 to 30 minutes after washing to decrease the burning sensation. The avoidance of sun and the use of sunscreen agents must be emphasized because sun exposure can result in severe sunburn. The agent should be applied sparingly to the skin. Erythema and peeling are common local manifestations.

Nursing

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The nurse manager overhears staff discussing the shortage of nurses. Which statement by a staff member would the manager evaluate as misinformation?

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Calculate the intake. A patient consumes 120 mL of orange juice and 120 mL of milk for breakfast, 260 mL of coffee for lunch, and 90 mL of an ice pop and 120 mL of ice cream for dinner

The patient voided three times during the shift for 240 mL, 500 mL, and 400 mL. Calculate the intake for the 6 AM to 6 PM shift.

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