A nurse is reinforcing teaching about the iPLEDGE program with a female client who has a new prescription for isotretinoin.
The nurse should tell the client that which of the following is a requirement of the program?

Female clients must have a negative mammogram prior to beginning therapy.

Clients must have a Papanicolaou test every 6 months during treatment.

Clients must begin a daily supplement of vitamin A for 1 month prior to initiating therapy.

Sexually active female clients must use two forms of birth control during treatment.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

A negative mammogram is not a requirement of the iPLEDGE program. Mammograms are used to screen for breast cancer and are not related to isotretinoin therapy.

Choice B rationale:

Regular Papanicolaou tests, which screen for cervical cancer, are not a requirement of the iPLEDGE program. These tests are not related to isotretinoin therapy.

Choice C rationale:

There is no requirement for clients to begin a daily supplement of vitamin A prior to initiating therapy. In fact, taking additional vitamin A while on isotretinoin can increase the risk of vitamin A toxicity.

Choice D rationale:

Sexually active female clients must use two forms of birth control during treatment. This is because isotretinoin can cause severe birth defects.

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Correct Answer is D

Explanation

Choice A rationale:

While reminding the client to change positions slowly is important to prevent orthostatic hypotension, it is not the priority before administering furosemide.

Choice B rationale:

Preparing the client’s medication is an important step, but it should be done after reviewing the client’s electrolyte levels.

Choice C rationale:

Recording the client’s urinary output is important when administering furosemide, a diuretic, but it is not the priority action.

Choice D rationale:

Reviewing the client’s electrolyte levels is crucial before administering furosemide because it can cause electrolyte imbalances, including low potassium levels, which can lead to serious cardiac complications.

A. "The first dose of this vaccine is given after the child is 3 years old.” B. "Give your child three doses of aspirin following administration of this vaccine.” C. "The vaccine should be avoided in children who have leukemia.” D. "This vaccine is contraindicated for children who are allergic to eggs.”

Correct Answer is C

Explanation

Choice A rationale:

The first dose of the varicella vaccine is usually given when the child is between 12 to 15 months old, not after 3 years.

Choice B rationale:

Aspirin should not be given to children due to the risk of Reye’s syndrome. This syndrome is a rare but serious condition that causes swelling in the liver and brain.

Choice C rationale:

The varicella vaccine should be avoided in children who have leukemia or any other condition that weakens the immune system.

Choice D rationale:

The varicella vaccine is not contraindicated for children who are allergic to eggs. It’s some other vaccines like influenza that have this restriction.

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A nurse is reinforcing teaching about the iPLEDGE program with a female client who has a new prescription for isotretinoin.The nurse should tell the client that which of the following is a requirement of the program?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who has heart failure and a prescription for a repeat dose of furosemide 40 mg orally.Which of the following actions is the nurse's priority?

Correct Answer is D

Explanation

A nurse is reinforcing teaching about the varicella vaccine with the guardian of a toddler.Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

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A nurse is reinforcing teaching about the iPLEDGE program with a female client who has a new prescription for isotretinoin.
The nurse should tell the client that which of the following is a requirement of the program?