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."
C
Adverse effects of isotretinoin can be increased by tetracycline, so tetracycline must be discon-tinued before therapy is started. Alcohol should be avoided, since it can potentiate hypertriglyce-ridemia. 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.
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A nurse works at a clinic which provides care to a community which has a high population of smokers. The nurse is planning an educational session on "Tips to Quit." Which action by the nurse is appropriate?
A) Telling this group that smoking is unacceptable. B) Making sure the group is aware of the increased risk of liver disease and cancer of the esophagus. C) Reviewing the available pharmacologic adjuncts to cessation. D) Recommending hypnosis at a local dinner theater.
The nurse works in a small hospital that uses narrative documentation rather than computer documentation. The nurse makes a practice of documenting care only at the end of the shift, just before giving shift report
Which aspect of documentation credibility does this most clearly violate? 1. It is contemporaneous. 2. It is accurate. 3. It is truthful. 4. It is appropriate.
Erica is a 50-year-old woman who developed insomnia around the time that she began menopause
She began treating her insomnia with over-the-counter hypnotics with reasonable success but stopped taking them early this week on the advice of a friend. Erica now describes her insomnia as being "worse than ever." The nurse should recognize what factor as the likely cause of her present insomnia? A) The fact that she stopped taking hypnotics suddenly rather than gradually B) The fact that she did not replace the hypnotic with a different drug prior to stopping the first drug C) The fact that her insomnia is attributable to hormonal causes rather than psychosocial factors D) The fact that she did not allow enough time to develop a stable serum level of the drug
you make up most mornings and walk to the local tavern to pick up your mail and to talk with other business leaders. around noon you and your colleagues take a whiskey break, and typically have 5 servings of whiskey a day. what year are you most likely living in?
A. 1830 B. 1919 C. 3700 BC D. 1933