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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Hydrochlorothiazide is a diuretic medication and does not interfere with the absorption of tetracycline.
Choice B rationale:
Antacids can interfere with the absorption of tetracycline, reducing its effectiveness. Therefore, they should be taken 3 hours before or after taking tetracycline.
Choice C rationale:
Lovastatin is a lipid-lowering medication and does not interfere with the absorption of tetracycline.
Choice D rationale:
Acetaminophen is an analgesic and does not interfere with the absorption of tetracycline.
Correct Answer is D
Explanation
Choice A rationale:
Fexofenadine can be taken with or without food, and there are no specific interactions with magnesium hydroxide. However, it’s always important to consult a healthcare provider before combining medications.
Choice B rationale:
While staying hydrated is generally good advice, there’s no specific requirement to drink up to one liter of fluid per day while taking fexofenadine.
Choice C rationale:
Fexofenadine should not be taken with fruit juices such as orange juice because they can decrease the absorption of the medication, making it less effective.
Choice D rationale:
Fexofenadine can cause side effects such as dizziness or drowsiness in some people. Therefore, it’s important to avoid driving or operating heavy machinery until you know how this medication affects you.
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