A nurse is caring for an adolescent in the outpatient dermatologist’s office.
Complete the following sentence by using the lists of options.
A nurse is providing education today on the newly-prescribed medication. The nurse recommends the adolescent notify the provider immediately if
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
The nurse recommends the adolescent notify the provider immediately if a change in mood or engagement in sexual activity occurs during therapy.
Rationale:
A change in mood: Isotretinoin carries a risk of depression, mood swings, or suicidal ideation. Adolescents should report any sudden mood changes immediately.
Engagement in sexual activity: Isotretinoin is highly teratogenic. Although the adolescent currently has a negative pregnancy test, any sexual activity could increase the risk of pregnancy, which requires strict precautions and provider notification.
Nausea, dry mouth, dry eyes, sunburn, decreased night vision, worsening acne: These are common side effects of isotretinoin and should be monitored, but they do not require immediate notification unless severe or persistent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}
Explanation
Anticipated:
Encourage the client to discuss their feelings: Psychosocial support is a key part of care for bulimia nervosa. Encouraging the client to discuss feelings helps address the underlying psychological factors contributing to binge-purge behaviors.
Monitor daily intake and output: Due to recurrent vomiting, electrolyte imbalances, and risk for dehydration, monitoring fluid intake and output is necessary to prevent complications such as hypovolemia or worsening electrolyte disturbances.
Request a prescription for fluoxetine: Fluoxetine (SSRI) is commonly prescribed for clients with bulimia nervosa to help reduce binge-purge behaviors and address comorbid anxiety or depression.
Not Anticipated:
Provide a reduced sodium diet: This client has hyponatremia (sodium 134 mEq/L), so sodium restriction is not appropriate. The priority is to restore normal electrolyte balance, not restrict sodium intake.
Request a prescription for bupropion: Bupropion is contraindicated in eating disorders with purging behaviors due to increased risk of seizures. It is therefore not appropriate for this client.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"},"G":{"answers":"A"}}
Explanation
Indicated:
Encourage high-calorie finger food: The client has experienced weight loss and decreased appetite, which can occur with depression. Offering high-calorie, easy-to-eat foods helps maintain adequate nutrition and prevents further weight loss.
Advise client to rise slowly from a sitting position: Trazodone can cause orthostatic hypotension due to its alpha-adrenergic blocking effects. Advising the client to rise slowly reduces the risk of dizziness or falls when standing.
Advise client to notify the provider if pregnant: Trazodone is contraindicated in pregnancy due to potential risks to the fetus. The client should inform the provider if pregnancy occurs or is suspected.
Encourage a regular sleep-wake schedule
Maintaining a consistent bedtime and wake time improves sleep hygiene, supports trazodone’s effectiveness for insomnia, and helps regulate mood and energy levels.
Not Indicated:
Instruct client to avoid foods that have been fermented or aged: This dietary restriction is necessary for clients taking monoamine oxidase inhibitors (MAOIs), not trazodone. Trazodone does not require tyramine restriction, so this intervention is unnecessary.
Encourage naps during the day when the client is tired: Daytime napping can disrupt nighttime sleep and worsen insomnia. The focus should be on promoting a consistent sleep routine rather than allowing extra daytime sleep.
Encourage client to sleep until later in the morning: Sleeping late can interfere with the circadian rhythm and reduce sleep quality. A consistent wake-up time is more beneficial for improving sleep patterns and mood.
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