When is isotretinoin (Accutane) indicated for the treatment of ...

[mrsjacobs44]

When is isotretinoin (Accutane) indicated for the treatment of acne during adolescence?
 
  a. The acne has not responded to other treatments.
  b. The adolescent is or may become pregnant.
  c. The adolescent is unable to give up foods causing acne.
  d. Frequent washing with antibacterial soap has been unsuccessful.

Question 2

Tretinoin (Retin-A) is a topical agent commonly used to treat acne. Nursing considerations with this drug should include:
 
  a. teaching to avoid use of sunscreen agents.
  b. applying generously to the skin.
  c. explaining that medication should not be applied until at least 20 to 30 minutes after washing.
  d. explaining that erythema and peeling are indications of toxicity.

[bobsmith]

Answer to Question 1

ANS: A
Isotretinoin is reserved for severe cystic acne that has not responded to other treatments. Isotretinoin has teratogenic effects and should never be used when there is a possibility of pregnancy. No correlation exists between foods and acne. Antibacterial soaps are ineffective. Frequent washing with antibacterial soap is not a recommended therapy for acne.

Answer to Question 2

ANS: C
The medication should not be applied for at least 20 to 30 minutes after washing to decrease the burning sensation. The avoidance of sun and the use of sunscreen agents must be emphasized because sun exposure can result in severe sunburn. The agent should be applied sparingly to the skin. Erythema and peeling are common local manifestations.

[mrsjacobs44]

TYSM

[JaynaD87]

Excellent