Tretinoin (Retin-A) is a topical agent commonly used to treat acne. Nursing considerations with this drug include:
a. Avoiding use of sunscreen agents.
b. Using cosmetics with lanolin and petrolatum.
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. Avoiding sun and using sunscreen agents must be emphasized because sun exposure can result in severe sunburn. Cosmetics with lanolin, petrolatum, vegetable oil, lauryl alcohol, butyl stearate, and oleic acid can increase comedone production. Erythema and peeling are common local manifestations.
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