An adolescent is being prescribed Isotretinoin. Which of the following statements should the nurse understand that the client needs further education about taking Isotretinoin?
It is safe to take Isotretinoin while pregnant.
I need to use two forms of contraceptives for one month before, during, and one month after taking Isotretinoin.
I need to monitor my cholesterol and triglycerides while taking Isotretinoin.
I should avoid pregnancy while taking Isotretinoin.
The Correct Answer is A
A. This statement indicates a need for further teaching. Isotretinoin is highly teratogenic and can cause severe birth defects. It is never safe during pregnancy, and strict pregnancy prevention measures must be followed.
B. This statement is accurate. To prevent pregnancy, clients must use two reliable forms of contraception starting one month prior to therapy, throughout treatment, and for one month after discontinuation, as recommended by the iPLEDGE program.
C. This statement is accurate. Isotretinoin can cause hyperlipidemia, so monitoring lipid levels periodically during therapy is essential to detect and manage potential complications.
D. This statement is accurate. Avoiding pregnancy is mandatory due to the high teratogenic risk associated with Isotretinoin. Clients must follow strict pregnancy prevention protocols.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Seborrheic dermatitis, commonly known as cradle cap, is a benign inflammatory condition affecting the scalp of infants. It is caused by overactive sebaceous glands and possibly Malassezia yeast, not by bacteria or a systemic infection. The presence of crusty or scaly patches does not indicate the infant is ill or infected systemically.
B. Gentle washing is an important part of managing cradle cap. Shampooing with a mild, non-irritating baby shampoo helps to loosen scales and remove debris, preventing thick crust formation. Avoiding washing can allow flakes to accumulate and worsen the appearance, and does not improve the condition.
C. Cradle cap is not contagious, so there is no need for isolation. The condition does not pose a risk to family members, peers, or caregivers. Reassuring parents about this helps reduce unnecessary anxiety.
D. Applying petrolatum, mineral oil, or other emollients softens the thick, scaly patches, making it easier to gently brush or comb them away. This intervention helps reduce crusting and improves the appearance of the scalp. Following with gentle shampooing ensures scales are removed safely without irritating the infant’s skin. This approach is considered first-line, non-pharmacologic management for mild to moderate seborrheic dermatitis in infants and can often resolve the condition without medical treatment.
Correct Answer is A
Explanation
A. Lispro is a rapid-acting insulin used to manage hyperglycemia in individuals with diabetes mellitus. It helps lower blood glucose levels quickly, especially around meal times, and is often used in combination with longer-acting insulins for optimal glycemic control.
B. Lispro has no antiviral properties and is not effective against herpes simplex virus infections. Antiviral medications like acyclovir or valacyclovir are used for that purpose.
C. Lispro does not have analgesic properties and is not used for pain management. Opioids, NSAIDs, or other pain-specific medications are indicated for severe pain.
D. Lispro is not an anti-inflammatory or immunomodulatory agent and does not treat autoimmune conditions like rheumatoid arthritis. Disease-modifying antirheumatic drugs (DMARDs) are typically used for that condition.
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