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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Chronic glomerulonephritis is a condition that causes inflammation of the glomeruli, which are tiny filtering units in the kidneys.
This can lead to poor kidney function and an increase in waste products in the bloodstream.
Blood urea nitrogen (BUN) is a waste product that is normally filtered by the kidneys and excreted in urine.
A BUN level of 50 mg/dL is higher than the normal range, indicating poor kidney function.
Choice B is incorrect because a serum phosphorus level of 4.0 mg/dL is within
the normal range for adults.
Choice C is incorrect because a serum potassium level of.8 mEq/L is within the normal range for adults.
Choice D is incorrect because proteinuria (the presence of protein in urine) is a
common finding in glomerulonephritis.
Correct Answer is B
Explanation
Acute lead poisoning in toddlers can cause anorexia, as well as vomiting, abdominal pain, and constipation.
These symptoms can progress to seizures, coma, and even death if not treated promptly.
Choice A, increased urinary output, is not the correct answer because lead poisoning can cause a decrease in urinary output due to the effect of lead on the kidneys.
Choice C, diarrhea, is not the correct answer because lead poisoning is more likely to cause constipation than diarrhea.
Choice D, jaundice, is not the correct answer because jaundice is not a common finding in lead poisoning.
Jaundice is a yellowing of the skin and whites of the eyes caused by an excess of bilirubin in the blood, which is not directly related to lead poisoning.
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