A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for

the nurse to provide this client?

Breast feeding is not recommended while taking this medication.

Baseline liver function results must be obtained during therapy.

Do not take multiple vitamins that contain vitamin A while taking this drug.

Answer and Explanation

The Correct Answer is D

Choice A reason: Breast feeding is not recommended while taking this medication, as isotretinoin can pass into breast milk and harm

the nursing infant. However, this information is not as important as choice d, as the client may not be breast feeding or planning to breast feed.

Choice B reason: Baseline liver function results must be obtained during therapy, as isotretinoin can cause liver damage and increase liver enzymes. However, this information is not as important as choice d, as the client may not have liver problems or need liver function tests.

Choice C reason: Do not take multiple vitamins that contain vitamin A while taking this drug, as isotretinoin is a derivative of vitamin A and can cause vitamin A toxicity if taken in excess. However, this information is not as important as choice d, as the client may not take multiple vitamins or have vitamin A toxicity.

Choice D reason: Discontinue this medication one month before attempting to conceive, as isotretinoin can cause severe birth defects and miscarriages if taken during pregnancy. Therefore, this information is most important for the nurse to provide this client, as the client is planning to become pregnant and should avoid isotretinoin exposure.

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Correct Answer is A

Explanation

Choice A reason: Ferrous sulfate is best absorbed on an empty stomach, so waiting 2 hours after meals to take the tablet will enhance its effectiveness. Food can interfere with iron absorption, especially dairy products, eggs, coffee, tea, and antacids.

Choice B reason: Bedtime is not the best time to take the tablet, because lying down after taking iron can cause gastrointestinal upset, such as nausea, vomiting, constipation, or diarrhea. The client should take the tablet with a full glass of water and remain upright for at least 30 minutes.

Choice C reason: Taking the tablet with a daily multivitamin is not recommended, because some vitamins and minerals can reduce iron absorption, such as calcium, zinc, copper, and vitamin E. The client should avoid taking iron with other supplements unless advised by the healthcare provider.

Choice D reason: Crushing the tablets and mixing with pudding is not advisable, because enteric-coated tablets are designed to dissolve slowly in the intestine and protect the stomach from irritation. Crushing them will destroy their coating and reduce their effectiveness. The client should swallow the tablets whole and not chew or crush them.

A. Cover your skin before going outside. B. Monitor skin for excessive bruising. C. Limit intake of high-potassium foods. D. Replace salt with a salt substitute.

Correct Answer is C

Explanation

Choice B reason:While spironolactone can sometimes cause side effects, bruising is not a typical issue associated with this medication.

Choice A reason: Covering your skin before going outside is not an instruction that the nurse should include in this client's plan of care, but rather a general precaution that anyone should take to protect their skin from sun damage. Spironolactone does not increase the risk of sunburn or photosensitivity.

Choice C reason:Spironolactone is a potassium-sparing diuretic that works by blocking aldosterone, which helps reduce fluid retention. However, because it spares potassium, there is a risk of hyperkalemia (high potassium levels). Therefore, clients taking spironolactone should limit their intake of high-potassium foods (e.g., bananas, oranges, spinach, avocados) to avoid dangerous potassium levels.

Choice D reason: Replacing salt with a salt substitute is not an instruction that the nurse should include in this client's plan of care, but rather a dangerous practice that can lead to hyperkalemia. Salt substitutes are often made with potassium chloride, which can increase the potassium level in the blood. The client should use herbs or spices instead of salt or salt substitutes to flavor their food.

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A young adult female client who is planning to become pregnant asks the nurse if she can continue taking isotretinoin for cystic acne. Which information is most important for

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An older adult with iron deficiency anemia is being discharged with a prescription for ferrous sulfate enteric-coated tablets. To promote best absorption of the medication, which information should the nurse include in the discharge instructions?

Correct Answer is A

Explanation

A client with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed. Which instruction should the nurse include in this client's plan of care?

Correct Answer is C

Explanation

A client is receiving intravenous (IV) vancomycin and the nurse plans to draw blood for a peak and trough to determine the serum level of the drug. Which collection times provide the best determination of these levels?

A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the teaching plan for this client?

The nurse is caring for a client who has been taking ibuprofen. Which finding is most important for the nurse to report to the healthcare provider?

After receiving five doses of filgrastim, the nurse notes that the client's white blood cell count has increased from 2,500/mm3 (2.5 x 109/L) to 5,000/mm3 (5 x 109/L). Which action should the nurse implement? White Blood Cell (WBC) [Reference Range: 5000 to 10,000/mm3 (5 to 10 x 109/L)]

The nurse is preparing a discharge teaching plan for a client who is taking ciprofloxacin hydrochloride tablets, which were prescribed because of a suspected anthrax exposure. Which instruction(s) should be included in the teaching plan? (Select all that apply.)

Prior to administering the evening dose of carbamazepine, the nurse notes that the client's morning carbamazepine level was 8.4 mg/L (35.6 mcmol/L). Which action should the nurse take?

A client with chemotherapy-induced nausea receives a prescription for metoclopramide. Which adverse effect is most important for the nurse to report?