Patient Data

Exhibits

Mark whether the assessment finding represents a therapeutic result of the lactulose administered, a nontherapeutic side effect, or an unrelated finding. Each row must have one option selected.

A. Start the second course of therapy after an 8-week delay: While a second course of isotretinoin may sometimes be considered after a break if acne persists, this timing is medication management guidance and is less urgent than immediate safety concerns like sun sensitivity.

B. Consider an alternative summer job, other than life guarding: Isotretinoin causes extreme photosensitivity, making prolonged sun exposure dangerous. Adolescents working outdoors, like lifeguards, are at high risk for severe sunburns, so suggesting alternative employment protects their health.

C. Store the medicine in a plastic, tight, light resistant container: Proper medication storage is important but not the most critical concern compared to preventing serious adverse effects like sunburn, teratogenicity, or psychiatric symptoms with isotretinoin use.

D. Discontinue all multivitamins during acne medication therapy: There is generally no need to discontinue all multivitamins while taking isotretinoin unless specifically instructed by the healthcare provider. Some multivitamins contain vitamin A, excessive intake of vitamin A should be avoided. However, discontinuing all multivitamins without guidance could lead to other nutritional deficiencies.

A. Gingko biloba use should be limited and not taken during pregnancy: While this is true, the client in question is using it for multiple sclerosis-related symptoms and not indicated to be pregnant. This point is valid but not the most immediate safety concern for her situation.

B. Nausea and diarrhea can occur when using this supplement: These are known side effects of ginkgo biloba but are generally mild and not life-threatening. They are less critical to emphasize than potentially dangerous drug interactions.

C. Anxiety and headaches increase with the use of ginkgo: While some users may experience headaches, the occurrence of anxiety is less common. These effects are not as significant or dangerous as those involving bleeding risks when ginkgo is combined with other medications.

D. Aspirin and nonsteroidal antiinflammatory drugs (NSAID) interact with ginkgo: Ginkgo biloba has antiplatelet properties and can increase the risk of bleeding, especially when taken with aspirin or NSAIDs. This interaction is potentially serious and is the most important safety information to provide.