A nurse is reinforcing teaching about the iPLEDGE program with a female client who has a new prescription for isotretinoin.
The nurse should tell the client that which of the following is a requirement of the program?
Female clients must have a negative mammogram prior to beginning therapy.
Clients must have a Papanicolaou test every 6 months during treatment.
Clients must begin a daily supplement of vitamin A for 1 month prior to initiating therapy.
Sexually active female clients must use two forms of birth control during treatment.
The Correct Answer is D
Choice A rationale:
A negative mammogram is not a requirement of the iPLEDGE program. Mammograms are used to screen for breast cancer and are not related to isotretinoin therapy.
Choice B rationale:
Regular Papanicolaou tests, which screen for cervical cancer, are not a requirement of the iPLEDGE program. These tests are not related to isotretinoin therapy.
Choice C rationale:
There is no requirement for clients to begin a daily supplement of vitamin A prior to initiating therapy. In fact, taking additional vitamin A while on isotretinoin can increase the risk of vitamin A toxicity.
Choice D rationale:
Sexually active female clients must use two forms of birth control during treatment. This is because isotretinoin can cause severe birth defects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
“Inject the medication into the subcutaneous tissue of your abdomen.” This is correct because exenatide is a type of medication that needs to be injected subcutaneously for it to be absorbed into the body properly.
Choice B rationale:
“Discard excess medication after 60 days.” This statement is incorrect because exenatide pens are usually good for 30 days after the first use.
Choice C rationale:
“Take the medication at bedtime.” This is incorrect because exenatide should be taken within 60 minutes before the morning and evening meal.
Choice D rationale:
“Contact the provider if you experience unexplained muscle pain.” While this is generally good advice when starting any new medication, muscle pain is not a common side effect of exenatide.
Correct Answer is B
Explanation
Choice A rationale:
Hypernatremia (high sodium levels) is not a common side effect of spironolactone. Spironolactone is a potassium-sparing diuretic and does not typically affect sodium levels.
Choice B rationale:
Hyperkalemia (high potassium levels) is a potential adverse effect of spironolactone. As a potassium-sparing diuretic, spironolactone can cause an increase in serum potassium levels.
Choice C rationale:
Hypophosphatemia (low phosphate levels) is not typically associated with spironolactone use.
Choice D rationale:
Hypocalcemia (low calcium levels) is also not a common side effect of spironolactone.
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