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
Explanation
A. Cumulative Index to Nursing and Allied Health Literature (CINAHL) is the most comprehensive nursing-specific electronic database, providing access to peer-reviewed nursing and allied health journals, evidence-based care sheets, research studies, and continuing education materials. It is the preferred source for nursing research and scholarly articles.
B. Agency for Healthcare Research and Quality (AHRQ) focuses on healthcare quality, safety, and outcomes but is not primarily a journal database; it provides guidelines and reports rather than comprehensive journal access.
C. Health Source offers general health-related articles, often intended for consumers or interdisciplinary audiences, but it lacks the depth and nursing focus found in CINAHL.
D. ProQuest is a large academic database that includes many disciplines; however, it is not as specific or detailed in nursing and allied health research as CINAHL.
Correct Answer is D
Explanation
A. Varicella (chickenpox) requires airborne and contact precautions, not droplet precautions, due to its high transmissibility.
B. Aspirin should never be given to children with viral infections because it increases the risk of Reye’s syndrome, a life-threatening condition causing liver failure and encephalopathy.
C. The herpes zoster vaccine (Zostavax or Shingrix) is for adults to prevent shingles, not for children with active varicella infection.
D. Children with varicella are contagious from 1–2 days before the rash appears until all vesicles have crusted over (usually 5–7 days). They should be isolated from susceptible individuals during this period.
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