A nurse is caring an adolescent who has acne and a prescription for isotretinoin from the dermatologist. Which of the following laboratory findings should the nurse plan to monitor?
Serum Potassium
Cholesterol and triglycerides
BUN and Creatitine
Serum Sodium
The Correct Answer is B
A. Isotretinoin does not typically alter potassium levels. Routine monitoring of potassium is not indicated in healthy adolescents taking isotretinoin, as the medication does not have known effects on renal potassium handling or cause electrolyte imbalances in this context. Monitoring potassium is only relevant if the patient has other conditions or medications that affect electrolytes.
B. Isotretinoin can cause hyperlipidemia, increasing cholesterol and triglyceride levels, which may raise the risk for pancreatitis or long-term cardiovascular issues. Baseline lipid panels are obtained before starting therapy, with periodic monitoring during treatment to detect and manage elevations promptly.
C. Isotretinoin is not nephrotoxic, meaning it does not typically impair kidney function. Routine monitoring of BUN and creatinine is not necessary unless the adolescent has preexisting kidney disease or other risk factors. Focus should remain on labs directly affected by the medication.
D. Isotretinoin has no significant impact on serum sodium levels. Hyponatremia is not a known complication of isotretinoin therapy, so routine sodium monitoring is unnecessary in otherwise healthy clients. Laboratory monitoring should prioritize liver function tests and lipid profiles, which are more likely to be affected.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This response dismisses the parent’s concerns and limits the child’s social and developmental opportunities. It does not address the underlying feelings or provide guidance on safe participation in school or sports.
B. Labeling the parent as “overprotective” is judgmental and may make the parent feel defensive. It does not encourage open communication or validate her concerns.
C. While well-being is important, this response does not explore the parent’s feelings or provide education about safely managing diabetes during physical activity. It may inadvertently reinforce anxiety rather than support informed decision-making.
D. This response is therapeutic and open-ended, encouraging the parent to express her concerns and emotions. It allows the nurse to assess the parent’s understanding, provide education about safe diabetes management during school and sports, and collaborate on strategies to promote the child’s participation while minimizing risk. This approach supports both parental reassurance and the child’s psychosocial development.
Correct Answer is ["2"]
Explanation
Step 1: Use the formula
Number of tablets = Desired dose ÷ Strength per tablet
Step 2: Insert known values
Number of tablets = 3 ÷ 1.5
Number of tablets = 2
Final Answer: 2 tablets
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.