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 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.

A. Smokey brown urine. B. Facial edema. C. Hypertension. D. Polyuria.

Correct Answer is B

Explanation

Nephrotic syndrome is a kidney disorder that causes your body to pass too much protein in your urine.
Swelling around the eyes is the most common sign of nephrotic syndrome in children 2.
Choice A is incorrect because smokey brown urine is not a symptom of nephrotic syndrome.
Choice C is incorrect because hypertension (high blood pressure) is a complication of nephrotic syndrome, not a symptom.
Choice D is incorrect because polyuria (frequent urination) is not a symptom of nephrotic syndrome.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is teaching about neural tube defects to a group of females who are pregnant. Which of the following disease processes should the nurse include as an example of a neural tube defect?

A nurse is providing teaching to a parent of a preschooler who has eczema. Which of the following instructions should the nurse include in the teaching?

A nurse in an emergency department is caring for an adolescent following a suicide attempt. After reviewing the client's history, the nurse should determine which of the following is the priority risk factor for suicide completion.

A nurse is bathing a toddler and notices that she has several bruises. Which of the following actions should the nurse take first?

A nurse is assessing a toddler who has acute nephrotic syndrome. Which of the following findings should the nurse report to the provider?

A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse say to the child?

A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. When determining that the traction is appropriately assembled, the nurse should observe which of the following?

A nurse in a special education program is planning care for a child who has an autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care?

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?