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.

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["1"]

Explanation

Step 1: Convert the child's weight from pounds to kilograms.

44 pounds / 2.2 pounds/kg = 20 kg

Step 2: Calculate the child's total daily dose of gentamicin.

20 kg * 6 mg/kg/day = 120 mg/day

Step 3: Divide the child's total daily dose of gentamicin by the number of doses per day.

120 mg / 3 doses/day = 40 mg/dose

Step 4: Calculate the volume of gentamicin to be administered with each dose.

40 mg / 40 mg/mL = 1 mL/dose

Step 5: Round the answer to the nearest whole number and add a leading zero if necessary.

1 mL/dose = 1 mL/dose

Answer: 1 mL with each dose.

A. Hang the antibiotic medication bag above the level of the primary infusion. B. Wipe the connection port of the primary IV tubing with an antiseptic swab. C. Check the IV site for signs of infiltration. D. Connect the tubing of the medication bag to the primary tubing.

Correct Answer is C

Explanation

Choice A rationale:

Hanging the antibiotic medication bag above the level of the primary infusion is an important step in administering an antibiotic via intermittent IV bolus. However, it is not the first step. The medication bag is usually hung higher to allow the antibiotic to infuse by gravity once it’s connected.

Choice B rationale:

Wiping the connection port of the primary IV tubing with an antiseptic swab is a crucial step in preventing infection. However, this is typically done just before connecting the secondary line, not as the first step.

Choice C rationale:

Checking the IV site for signs of infiltration is indeed the first step. It’s important to ensure that the IV catheter is still properly placed in the vein and that there are no signs of infection or infiltration, which could cause complications.

Choice D rationale:

Connecting the tubing of the medication bag to the primary tubing is done after cleaning the port and before hanging the bag. It’s not the first step.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1"]

Explanation

A nurse is preparing to administer an antibiotic via intermittent IV bolus for a client who has a continuous IV infusion.Which of the following steps should the nurse take first?

Correct Answer is C

Explanation

A nurse working in an urgent care clinic is collecting data from a client who takes montelukast.Which of the following is an expected therapeutic effect of this medication?

A nurse is planning to administer medications to a client who has trigeminal neuralgia.Which of the following medications should the nurse plan to administer to manage the client's pain?

A nurse in an acute care facility is collecting data from a client who has received the meningococcal conjugate vaccine.The nurse should monitor the client for which of the following findings as an adverse effect of the vaccine?

A nurse is reinforcing discharge teaching with a client who has a new prescription for rifampin.Which of the following information should the nurse include?

A nurse is administering the first dose of ramipril to a client who has hypertension.The client reports feeling dizzy and lightheaded.Which of the following should the nurse administer?

A nurse is collecting data from a client who has been taking diazepam several times per day but recently ran out of the medication.Which of the following findings should the nurse recognize as a manifestation of withdrawal from diazepam?

A nurse is reviewing the medication list of a client who has a new prescription for tetracycline.The nurse should instruct the client to take which of the following medications 3 hr before or after taking the tetracycline?

A nurse is collecting data from a client who received diphenhydramine for insomnia. Which of the following findings should the nurse identify as an idiosyncratic reaction?

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?