The nurse is teaching a female patient who will begin taking isotretinoin (Amnesteem) to treat severe cystic acne. Which statement by the patient indicates understanding of the teaching?
a. "I may get a 3-month supply of the medication with each refill."
b. "I must abstain from intercourse while taking this drug."
c. "I should avoid strenuous exercise when I am taking this medication."
d. "I should take a vitamin A supplement while I am taking the medication."
ANS: C
Serious muscle damage may occur while taking this medication, so patients should avoid strenuous activity which can compound this effect. Patients must get monthly refills and must take a pregnancy test before each refill. Patients should use two reliable forms of birth control, but abstinence is not required. Vitamin A can compound the adverse effects of this medication.
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At birth, an infant weighed 8 pounds, 4 ounces. Three days later, the newborn is being discharged. The parents note that the baby now weighs 7 pounds, 15 ounces
What explanation should the nurse give for the change in this newborn's weight? "His weight loss is: 1. "Excessive." 2. "Within normal limits." 3. "Less than expected." 4. "Unusual."
In a "don't smoke, don't start" program the school nurse decided to focus on all three aspects of the epidemiologic triangle. Therefore the nurse would include:
A. The benefits of smoking, the risks of smoking, and the expense of smoking. B. The pleasures of smoking, the risks of smoking, and the costs of smoking. C. The risks of nicotine, genetic factors related to nicotine absorption, and media pressures to smoke. D. The risks of nicotine, the cost of smoking, and the taxes on cigarettes.
The major risk of polypharmacy for the older adult is the patient's:
a. ignorance about his or her prescriptions. b. taking over-the-counter preparations. c. being treated by more than one physician. d. taking old prescriptions rather than consulting a physician.
The nurse is to tell a patient that her Pap smear result was abnormal. Which statement should the nurse include?
1. "The Pap smear is used to diagnose cervical cancer." 2. "A loop electrosurgical excision procedure (LEEP) is needed." 3. "Colposcopy to further examine your cervix is the next step." 4. "Your cervix needs to be treated with cryotherapy."