A nurse is caring for an adolescent in the outpatient dermatologist’s office.
Complete the following sentence by using the lists of options.
A nurse is providing education today on the newly-prescribed medication. The nurse recommends the adolescent notify the provider immediately if
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
The nurse recommends the adolescent notify the provider immediately if a change in mood or engagement in sexual activity occurs during therapy.
Rationale:
A change in mood: Isotretinoin carries a risk of depression, mood swings, or suicidal ideation. Adolescents should report any sudden mood changes immediately.
Engagement in sexual activity: Isotretinoin is highly teratogenic. Although the adolescent currently has a negative pregnancy test, any sexual activity could increase the risk of pregnancy, which requires strict precautions and provider notification.
Nausea, dry mouth, dry eyes, sunburn, decreased night vision, worsening acne: These are common side effects of isotretinoin and should be monitored, but they do not require immediate notification unless severe or persistent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Financial planning is important but not the immediate safety priority.
B. Respite care supports caregivers but does not directly impact client safety or recovery.
C. Support groups assist with long-term coping, not early functional recovery.
D. Physical therapy is essential for a client with hemiplegia to prevent contractures, improve mobility, and promote independence. Early rehabilitation enhances recovery and prevents complications such as deep vein thrombosis and muscle atrophy.
Correct Answer is A
Explanation
A. Using a lateral transfer device (e.g., slide board, mechanical transfer aid) decreases friction and reduces the risk of musculoskeletal injury to both client and staff. This is a fundamental ergonomic principle.
B. The nurse should move or transfer the client toward their stronger side to promote safety and stability, not the weaker side.
C. While pillows can be used for comfort and alignment, they are not part of ergonomic safety principles for lifting or transferring clients.
D. The head of the bed should be lowered (flat position) during lateral transfers to keep the client’s body aligned and prevent falls. Raising the head increases risk of sliding or strain.
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