A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin.

Which of the following adverse eﬀects should the nurse instruct the client is the priority to report to the provider?

Feelings of isolation.

Frequent nosebleeds.

Back pain.

Itching of skin.

Answer and Explanation

The Correct Answer is A

Isotretinoin has been associated with depression and other psychiatric side eﬀects.
The client should report any changes in mood or behavior, including feelings of isolation, to the provider immediately.
Choice B is not an answer because while frequent nosebleeds can be a side
eﬀect of isotretinoin, it is not the priority to report to the provider.
Choice C is not an answer because while back pain can be a side eﬀect of isotretinoin, it is not the priority to report to the provider.
Choice D is not an answer because while itching of the skin can be a side eﬀect of isotretinoin, it is not the priority to report to the provider.

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Correct Answer is B

Explanation

A calcium level of 8.0 mg/dL is below the normal range for adults, which is 8.8 to 10.4 mg/dL.
This condition is known as hypocalcemia and can cause muscle spasms and aches.
Choice A is incorrect because a positive Chvostek’s sign, not a negative one, is a clinical sign of hypocalcemia.
Choice C is incorrect because dry, sticky mucous membranes are not a symptom of hypocalcemia.
Choice D is incorrect because polyuria (frequent urination) is a symptom of hypercalcemia (high calcium levels), not hypocalcemia.

A. Reposition the child every 2 hr. B. Remove the traction boot during baths. C. Reduce ﬂuid intake. D. Apply antibiotic ointment to pin sites daily.

Correct Answer is A

Explanation

The correct answer is choice a. Reposition the child every 2 hr.

Choice A rationale:

Repositioning the child every 2 hours is essential to prevent complications such as pressure ulcers and to promote comfort and circulation.

Choice B rationale:

Removing the traction boot during baths is not recommended as it can disrupt the traction setup and potentially worsen the condition.

Choice C rationale:

Reducing fluid intake is not necessary for managing Legg-Calve-Perthes disease and could lead to dehydration.

Choice D rationale:

Applying antibiotic ointment to pin sites daily is not applicable in this scenario as Buck extension traction typically does not involve pin sites.

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A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following adverse eﬀects should the nurse instruct the client is the priority to report to the provider?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for a child who has Legg-Calve-Perthes disease and is in Buck extension traction. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin.

Which of the following adverse eﬀects should the nurse instruct the client is the priority to report to the provider?