Which of the following acne drugs require very strict guidelines for prescribing and use because of the high teratogenic quality that requires forms of birth control and the iPLEDGE program?

Tazarotene

Benzoyl peroxide

Salicylic acid

Isotretinoin

Answer and Explanation

The Correct Answer is D

A. Tazarotene.: Tazarotene is a topical retinoid that is also teratogenic, but its systemic absorption is minimal compared to oral retinoids. While pregnancy should still be avoided during use, it does not require enrollment in the iPLEDGE program.

B. Benzoyl peroxide.: Benzoyl peroxide is a topical antimicrobial agent that works by reducing acne-causing bacteria and drying excess oil. It is considered safe for use in most populations, including pregnant individuals, and carries no teratogenic risk.

C. Salicylic acid.: Salicylic acid is a keratolytic agent used to exfoliate the skin and unclog pores. It poses minimal systemic absorption when applied topically and is not associated with significant teratogenic effects or special prescribing programs.

D. Isotretinoin.: Isotretinoin, an oral retinoid, is highly teratogenic and can cause severe birth defects if taken during pregnancy. It is regulated through the iPLEDGE program, which mandates pregnancy testing, contraception use, and provider certification before and during therapy.

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Correct Answer is A

Explanation

A. Reduction in frequency of COPD exacerbations: The combination of a long-acting beta2-agonist and an inhaled corticosteroid helps relax airway smooth muscles and reduce airway inflammation. This dual action improves airflow, decreases symptoms such as dyspnea, and lowers the risk and frequency of COPD exacerbations, enhancing disease management.

B. Exacerbation of inflammation and bronchoconstriction: Inhaled corticosteroids and LABAs work to decrease inflammation and promote bronchodilation. They do not worsen airway inflammation or constriction; rather, they improve respiratory function and symptom control.

C. Cure of underlying COPD pathology: COPD is a chronic, progressive disease with irreversible structural changes in the lungs. Medications like LABA/ICS improve symptoms and reduce exacerbations but do not cure the underlying pathology.

D. Prevention of pneumonia: While inhaled corticosteroids may slightly increase the risk of pneumonia in some COPD patients, the combination therapy is not intended to prevent infections. Its primary goal is symptom control and reduction of exacerbations.

A. "This medication can lead to constipation." B. "This medication can cause a metallic taste in my mouth." C. "You should take this medication at the same time as your other morning medications." D. "This medication requires a prescription from your provider."

Correct Answer is A

Explanation

A. "This medication can lead to constipation.": Aluminum hydroxide commonly causes constipation because aluminum salts slow down gastric motility. Clients should be encouraged to increase fluid intake, eat a diet high in fiber, or use combination antacids containing magnesium to counteract this effect.

B. "This medication can cause a metallic taste in my mouth.": A metallic taste is not a typical side effect of aluminum hydroxide. It is more commonly associated with other medications, such as metronidazole or certain antibiotics, rather than antacids.

C. "You should take this medication at the same time as your other morning medications.": Antacids can interfere with the absorption of many drugs, including antibiotics and cardiac medications. They should be taken at least one to two hours before or after other medications.

D. "This medication requires a prescription from your provider.": Aluminum hydroxide is an over-the-counter medication commonly used for relief of heartburn, gastritis, and acid indigestion. It does not require a prescription.

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Which of the following acne drugs require very strict guidelines for prescribing and use because of the high teratogenic quality that requires forms of birth control and the iPLEDGE program?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD) who has been prescribed a combination inhaler containing a long acting beta2-agonist (LABA) and an inhaled corticosteroid (ICS). Which therapeutic effect should the nurse expect from this medication?

Correct Answer is A

Explanation

A nurse is providing teaching to a client who is taking the antacid Aluminum Hydroxide for heartburn. What information should be provided to this client?

Correct Answer is A

Explanation

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