A nurse is assisting with the care of an adolescent in an outpatient dermatologist's office.
Complete the following sentence by using the lists of options.
A nurse is reinforcing teaching today on the newly prescribed medication. The nurse recommends that the adolescent notify the provider immediately if there is
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
Rationale for correct choices:
• a change in mood: Isotretinoin has been associated with psychiatric effects including depression, mood swings, aggression, and suicidal ideation, particularly in adolescents. Any noticeable mood or behavioral changes require immediate provider notification so the medication can be reassessed and mental health support initiated if needed.
• decreased night vision: Isotretinoin can impair dark adaptation and cause decreased night vision due to its effects on the retina. This adverse effect may be sudden or irreversible, making early reporting essential to prevent safety risks such as accidents while driving in low-light conditions.
Rationale for incorrect choices:
• nausea: Mild gastrointestinal upset can occur with isotretinoin and is generally expected rather than emergent. This symptom is usually managed with supportive measures and does not require immediate discontinuation unless severe or persistent.
• dry mouth: Mucocutaneous dryness, including dry lips and mouth, is a very common and expected side effect of isotretinoin. This is typically managed with hydration and emollients and does not warrant urgent provider notification.
• the development of dry eyes: Dry eyes are a common isotretinoin effect related to decreased sebaceous gland activity. While uncomfortable and relevant to report at routine follow-up, it is not an urgent finding unless severe or affecting vision.
• sunburn: Photosensitivity can occur during isotretinoin therapy, making sunburn more likely. This is addressed with sun protection education and does not indicate a serious adverse reaction requiring immediate notification.
• engagement in sexual activity: Sexual activity itself is not an adverse effect of isotretinoin. Although pregnancy prevention is critical due to teratogenicity, sexual activity alone does not represent a medication-related complication.
• worsening of acne: Acne may initially worsen during early isotretinoin therapy as part of the treatment response. This is a known and expected effect and does not require urgent provider contact unless severe or accompanied by systemic symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Grapes: Grapes are a common choking hazard for toddlers because of their size, shape, and firmness. They can easily block a child’s airway if not cut into small, manageable pieces. Including grapes in the pamphlet raises awareness for parents and caregivers to prevent choking.
B. Potatoes: Cooked, soft potatoes are generally safe for toddlers to eat. They do not pose a significant choking risk when properly prepared, so they are not a primary concern in choking prevention education.
C. Corn: Whole corn kernels are usually safe for toddlers because they are small and soft enough to swallow. Corn does not commonly obstruct the airway unless the child has swallowing difficulties.
D. Oranges: Orange segments are soft and unlikely to cause choking. While seeds or membranes could pose minor risks, oranges are generally considered safe and are not a primary choking hazard for toddlers.
Correct Answer is B
Explanation
A. Add moisturizing oil to the client's bath water: While oils can provide some moisture, adding them to bath water may create a slippery surface, increasing the risk of falls in older adults. Direct application of moisturizer after bathing is more effective and safer for maintaining skin hydration.
B. Place a humidifier in the client's room: A humidifier increases ambient humidity, which helps prevent skin from drying out in environments with low moisture. This intervention is safe, effective, and can provide continuous relief from dry, itchy skin in older adults.
C. Apply powder to the client's skin: Powders can irritate already dry or sensitive skin and may promote caking or fungal growth if moisture is present. They do not provide hydration and are not recommended for managing dry, itchy skin.
D. Encourage the client to bathe frequently: Frequent bathing, especially with hot water or harsh soaps, can exacerbate dryness and irritation. Limiting bathing to once daily or every other day, using lukewarm water and gentle cleansers, helps preserve natural skin oils.
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