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:

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.

A. "I will inform your provider so she can prescribe a different medication.” B. "You will need to take this medication on an empty stomach for it to be more effective.” C. "You will need to wait a couple of weeks to feel the therapeutic effect of the medication.” D. "I will ask your provider to increase the dose of the medication.”

Correct Answer is C

Explanation

Choice A rationale:

While it’s important for the provider to be informed if the medication isn’t working, it’s premature to change the medication after only 6 days.

Choice B rationale:

Amitriptyline does not need to be taken on an empty stomach to be effective.

Choice C rationale:

Amitriptyline, a tricyclic antidepressant, often takes several weeks before a therapeutic effect is felt.

Choice D rationale:

Increasing the dose prematurely can lead to unnecessary side effects. It’s better to wait for the medication to take effect.

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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?

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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?