The nurse working in the dermatology clinic assesses a young adult female patient who is taking isotretinoin (Accutane) to treat severe cystic acne. Which assessment finding is most indicative of a need for further questioning of the patient?
a. The patient recently had an intrauterine device removed.
b. The patient already has some acne scarring on her forehead.
c. The patient has also used topical antibiotics to treat the acne.
d. The patient has a strong family history of rheumatoid arthritis.
ANS: A
Because isotretinoin is teratogenic, contraception is required for women who are using this medication. The nurse will need to determine whether the patient is using other birth control methods. More information about the other patient data may also be needed, but the other data do not indicate contraindications to isotretinoin use.
You might also like to view...
The most appropriate restraint for the confused client with severe itching would be:
1. Mitt restraints. 2. Vest restraint. 3. Wrist restraint. 4. Mummy restraint.
The nurse caring for a patient who has a closed chest drainage system notes that there is fluctuation (tidaling) in the water seal chamber. What is the most appropriate nursing action based on this assessment?
a. Document the tidaling b. Elevate the head of the bed and notify charge nurse of malfunction of drainage system c. Add more sterile water to the water seal chamber d. Turn patient to the affected side
Describe the anaesthetic induction, maintenance and emergence of Mr Hooper. Provide rationales for your answer
You are working as anaesthetic nurse and note that the first patient on the list is Mr Hooper, 70 years old, who is undergoing a laparoscopic cholecystectomy. What will be an ideal response?
Which nursing diagnosis should the nurse include in the plan of care for an infant diagnosed with acute bronchiolitis due to respiratory syncytial virus (RSV)?
1. Activity Intolerance 2. Ineffective Peripheral Tissue Perfusion 3. Acute Pain 4. Decreased Cardiac Output