Nokea
A female patient has been taking isotretinoin for 3 months. During a follow-up appointment, which statement by the patient would be of highest concern to the nurse?
- A. I am using two forms of contraception while on this drug.
- B. I have been feeling rather down and lonely lately.
- C. I wish I didn't have to be on this medication.
- D. It's scary to know that this drug can cause birth defects.
Correct Answer: B
Rationale: There have been case reports of suicide and suicide attempts in patients receiving isotretinoin. Instruct patients to report immediately to their prescribers any signs of depression.
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A patient is considering taking oral aloe supplements and asks the nurse about potential problems with this therapy. Which statement by the nurse is correct?
- A. Aloe is not taken orally; it is only used topically to aid in wound healing.
- B. Aloe is used by some to treat constipation; it may cause diarrhea.
- C. This is a safe herbal supplement, with no known drug interactions.
- D. This is a safe herbal supplement, with no known adverse effects.
Correct Answer: B
Rationale: The dried juice of the leaves of the aloe plant contains anthranoids, which give aloe a laxative effect when taken orally. The topical application of the plant juice has been known for years to help the healing of wounds. Common adverse effects include diarrhea, nephritis, abdominal pain, and dermatitis when used topically.
A woman suffered a second-degree burn of the skin on her arm and hand while cooking breakfast. After examination in the urgent care center, silver sulfadiazine cream is ordered for the burned area. The nurse will apply the medication using which procedure?
- A. Gently patting a moderate amount over the burned area
- B. Massaging the cream completely into the wound
- C. Applying a thick layer over the burned area, and then leaving the area open
- D. Applying a thin layer with a sterile, gloved hand to clean and debrided areas
Correct Answer: D
Rationale: Apply a thin layer of medication with a sterile, gloved hand to clean and debrided wounds.
A patient asks about using minoxidil for hair thinning. Which statement about minoxidil is accurate?
- A. The product is applied once daily in the morning.
- B. Systemic absorption of topically applied minoxidil is rare.
- C. Results may be seen as soon as 2 weeks after beginning therapy.
- D. Systemic absorption may cause tachycardia, fluid retention, and weight gain.
Correct Answer: D
Rationale: Results of minoxidil therapy may not be seen for 4 months after beginning therapy. The product is applied twice daily, morning and evening, and systemic effects may result because of absorption.
A child has been diagnosed with impetigo, a skin infection. The nurse anticipates that which drug will be used to treat this condition?
- A. Spinosad
- B. Nystatin
- C. Acyclovir
- D. Mupirocin
Correct Answer: D
Rationale: Mupirocin is used on the skin for treatment of staphylococcal and streptococcal impetigo. Spinosad is used for pediculosis; nystatin is an antifungal drug; and acyclovir is an antiviral drug.
A female patient will be starting therapy with oral isotretinoin as part of treatment for severe acne, and the nurse is providing teaching. Which teaching point will the nurse include in her teaching plan about isotretinoin?
- A. You will have to use two contraceptive methods while on this drug.
- B. You must avoid sexual activity while on this drug.
- C. You will have to avoid pregnancy for 2 weeks after taking this drug.
- D. If you are taking an oral contraceptive, you may take this drug.
Correct Answer: A
Rationale: It is now required that at least two contraceptive methods be used by sexually active women during and for 1 month after completion of therapy with isotretinoin.