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 {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A,B"}}
Explanation
Hemoglobin 18.0 g/dL
Preeclampsia: Mild hemoconcentration can occur due to third spacing and fluid shift.
HELLP Syndrome: HELLP is more characterized by low hemoglobin due to hemolysis rather than high hemoglobin.
Alanine aminotransferase (ALT) 40 units/L
Preeclampsia: Liver enzymes can be mildly elevated in severe preeclampsia, but not as prominent as in HELLP.
HELLP Syndrome: Consistent finding. Elevated ALT reflects liver dysfunction, one of the hallmark components of HELLP (Hemolysis, Elevated Liver enzymes, Low Platelets).
Platelet count 98,000/mm³
Preeclampsia: Thrombocytopenia can occur in severe preeclampsia. Platelets <100,000/mm³ is concerning for progression to severe disease.
HELLP Syndrome: Consistent finding. Low platelets are a key diagnostic criterion of HELLP syndrome.
Blood Pressure 162/112 mm Hg
Preeclampsia: Consistent finding. Hypertension (≥140/90 mm Hg) is the primary diagnostic criterion for preeclampsia.
HELLP Syndrome: Often present with elevated blood pressure as well. HELLP is a variant of severe preeclampsia so elevated BP is common.
Correct Answer is ["A","B","E"]
Explanation
A. Providing a quiet environment minimizes stimulation that can raise ICP. Noise, bright lights, and sudden movements can increase cerebral pressure.
B. Administering stool softeners prevents straining during bowel movements, which could increase intrathoracic and intracranial pressure.
C. Encouraging coughing and deep breathing increases ICP due to intrathoracic pressure changes and should be avoided. The nurse should help the client maintain a patent airway using less strenuous methods.
D. Obtaining vital signs every 8 hours is too infrequent. Clients with elevated ICP require frequent neurological and vital assessments (e.g., hourly) to monitor for changes.
E. Maintaining the head of the bed at 30 degrees promotes venous drainage from the brain, reducing ICP while maintaining cerebral perfusion pressure.
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