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

Normal urine output for a child is 1-2 ml/kg/hr.
The child weighs 33 lb (15 kg), so their expected urine output over an 8-hour period would be between 120 mL and 240 mL.
The child’s urine output of 160 mL falls within this range.
Choice A, Notifying the provider, is not necessary because the child’s urine output
is within the normal range.
Choice C, Perform a bladder scan at the bedside, is not necessary because there is no indication of urinary retention.
Choice D, Providing oral rehydration ﬂuids, is not necessary because the child’s urine output is within the normal range.

A. 0.5 mL/kg/hr. B. 15 mL/kg/hr. C. 2 mL/kg/hr. D. 7.5 mL/kg/hr.

Correct Answer is C

Explanation

The correct answer is C. 2 mL/kg/hr.

Choice A rationale: An output of 0.5 mL/kg/hr is insufficient and indicative of ongoing dehydration or inadequate fluid intake.

Choice B rationale: An output of 15 mL/kg/hr is excessive and could suggest overhydration or a different pathology.

Choice C rationale: A urinary output of 2 mL/kg/hr is an ideal measure for indicating that fluid balance has been restored in infants.

Choice D rationale: An output of 7.5 mL/kg/hr is unusually high and not typical for a corrected fluid balance in infants.

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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 nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8-hour period. The child weighs 33 lb. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is C

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?