A client has been prescribed tretinoin (Avita) for treatment of acne. Which medication information should the nurse provide?
1. "It will take several weeks for you to see improvement in your skin."
2. "You should continue using your over-the-counter oil drying medication until you start to see effects from this medication."
3. "Mild sun exposure will help this medication work more effectively."
4. "You will likely notice redness and scaling of your skin while using this medication."
5. "Continue to take the tetracycline previously prescribed for your cystic acne."
1,4
Rationale 1: Initial improvement may take 4–8 weeks, while maximum therapeutic benefit may take 5–6 months.
Rationale 2: The client should avoid preparations that dry the skin.
Rationale 3: The client should avoid direct exposure to sunlight while using this medication.
Rationale 4: Redness and scaling are expected effects of this medication.
Rationale 5: Additive phototoxicity can occur if tretinoin is used concurrently with tetracycline.
Global Rationale: Initial improvement may take 4–8 weeks, while maximum therapeutic benefit may take 5–6 months. Redness and scaling are expected effects of this medication. The client should avoid preparations that dry the skin. The client should avoid direct exposure to sunlight while using this medication. Additive phototoxicity can occur if tretinoin is used concurrently with tetracycline.
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