A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin.

Which of the following adverse eﬀects should the nurse instruct the client is the priority to report to the provider?

Feelings of isolation.

Frequent nosebleeds.

Back pain.

Itching of skin.

Answer and Explanation

The Correct Answer is A

Isotretinoin has been associated with depression and other psychiatric side eﬀects.
The client should report any changes in mood or behavior, including feelings of isolation, to the provider immediately.
Choice B is not an answer because while frequent nosebleeds can be a side
eﬀect of isotretinoin, it is not the priority to report to the provider.
Choice C is not an answer because while back pain can be a side eﬀect of isotretinoin, it is not the priority to report to the provider.
Choice D is not an answer because while itching of the skin can be a side eﬀect of isotretinoin, it is not the priority to report to the provider.

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Correct Answer is B

Explanation

The correct answer is choiceb. Firmly attached white particles on the hair.

Choice A rationale:

Itching and scratching of the head are common symptoms of pediculosis capitis, but they are not definitive indicators. Itching can be caused by various other conditions such as dandruff or allergies.

Choice B rationale:

Firmly attached white particles on the hair, known as nits, are a definitive sign of pediculosis capitis.Nits are lice eggs that stick to the hair shafts and are difficult to remove.

Choice C rationale:

Thick yellow crusted lesions on a red base are more indicative of impetigo, a bacterial skin infection, rather than pediculosis capitis.

Choice D rationale:

Patchy areas of hair loss are typically associated with conditions like alopecia areata or fungal infections such as tinea capitis, not pediculosis capitis.

A. Low-sodium, ﬂuid-restricted. B. Regular diet, no added salt. C. Low-protein, low-potassium diet. D. Low-carbohydrate, low-protein diet.

Correct Answer is A

Explanation

The nurse should place the client on a low-sodium, ﬂuid-restricted diet.
Acute glomerulonephritis is a kidney disease that can cause ﬂuid retention and edema.
A low-sodium diet can help reduce ﬂuid retention and swelling.
Fluid restriction can also help manage ﬂuid balance and prevent further complications.
Choice B is not the best answer because a regular diet with no added salt may still contain high levels of sodium.
Choice C is not the best answer because a low-protein, low-potassium diet may not address the client’s ﬂuid retention and edema.
Choice D is not the best answer because a low-carbohydrate, low-protein diet may not provide adequate nutrition for the client.

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A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following adverse eﬀects should the nurse instruct the client is the priority to report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should the nurse recognize as an indication of this condition?

Correct Answer is B

Explanation

A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on which of the following diets?

Correct Answer is A

Explanation

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A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin.

Which of the following adverse eﬀects should the nurse instruct the client is the priority to report to the provider?