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","B","D"]
Explanation
A. Blood verification is always done by two licensed nurses to ensure compatibility between the donor unit and the recipient. This prevents fatal transfusion reactions due to ABO or Rh incompatibility.
B. Older adults are at higher risk for fluid overload and transfusion-associated circulatory overload (TACO). Assessing baseline lung sounds helps identify early signs of pulmonary edema or heart failure during the transfusion.
C. Sterile gloves are not required for blood administration setup. The nurse should use clean gloves because the blood and tubing are sterile from the manufacturer; sterile gloves are only used for sterile procedures.
D. Each unit of packed RBCs should be infused within 2 to 4 hours to prevent bacterial proliferation in the blood. For older adults, infusing more slowly (up to 4 hours) helps prevent fluid overload while still maintaining safety.
E. Blood must be primed with 0.9% sodium chloride (normal saline) — not hypotonic saline (0.45%) — because other solutions can cause hemolysis or clotting of red blood cells.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}
Explanation
Limb immobilization (e.g., a cast or splint) is the standard treatment for a nondisplaced fracture of the radius and ulna to ensure proper alignment, promote healing, and prevent further injury.
Pain medication is indicated to manage the child’s discomfort and improve tolerance of the immobilization.
Surgical consultation or skin traction is typically reserved for displaced fractures or fractures with complications, which are not present in this case.
Antibiotics are unnecessary unless there is an open fracture or risk of infection, and bed rest alone does not provide adequate stabilization for a forearm fracture.
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