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 A

Explanation

The nurse should place the client on a low-sodium, ﬂuid-restricted diet.
Acute glomerulonephritis is a kidney disease that can cause ﬂuid retention and edema.
A low-sodium diet can help reduce ﬂuid retention and swelling.
Fluid restriction can also help manage ﬂuid balance and prevent further complications.
Choice B is not the best answer because a regular diet with no added salt may still contain high levels of sodium.
Choice C is not the best answer because a low-protein, low-potassium diet may not address the client’s ﬂuid retention and edema.
Choice D is not the best answer because a low-carbohydrate, low-protein diet may not provide adequate nutrition for the client.

A. "I do wheelchair exercises while watching TV.". B. "I carry a water bottle with me because I drink a lot of water.". C. "I use a suppository every night to have a bowel movement.". D. "I only need to catheterize myself twice every day.".

Correct Answer is D

Explanation

Individuals with spina biﬁda who are paralyzed from the waist down may have difficulty emptying their bladder completely and may need to perform intermittent catheterization.
The frequency of catheterization can vary depending on the individual’s needs, but it is typically performed every 3-6 hours or 4-6 times per day.
Choice A, “I do wheelchair exercises while watching TV,” is a positive statement because exercise is important for overall health and well-being.
Choice B, “I carry a water bottle with me because I drink a lot of water,” is also a positive statement because staying hydrated is important for overall health.
Choice C, “I use a suppository every night to have a bowel movement,” is not necessarily an indication for further teaching because some individuals with spinal biﬁda may need to use bowel management techniques such as suppositories to help regulate bowel movements.

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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 caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets?

Correct Answer is A

Explanation

A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?

Correct Answer is D

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?