The nurse is teaching an adolescent about the use of tretinoin ...

[s.tung]

The nurse is teaching an adolescent about the use of tretinoin (Retin-A). What should the nurse include in the teaching session? (Select all that apply.)
 
  a. Begin with a pea-sized dot of medication.
  b. Apply additional medication to the throat.
  c. Use sunscreen daily and avoid the sun when possible.
  d. Divide the medication into the three main areas of the face.
  e. Apply the medication immediately after washing the face.

Question 2

The clinic nurse is assessing an adolescent on a topical antibacterial agent. The nurse should assess for which side effects that can be seen with topical antibacterial agents? (Select all that apply.)
 
  a. Burning
  b. Dryness
  c. Dry eyes
  d. Erythema
  e. Nasal irritation

[daiying98]

Answer to Question 1

ANS: A, C, D
Tretinoin is available as a cream, gel, or liquid. This drug can be extremely irritating to the skin and requires careful patient education for optimal usage. The patient should be instructed to begin with a pea-sized dot of medication, which is divided into the three main areas of the face and then gently rubbed into each area. The avoidance of the sun and the daily use of sunscreen must be emphasized because sun exposure can result in severe sunburn. The medication should not be applied for at least 20 to 30 minutes after washing to decrease the burning sensation. The medication should not be applied to the throat.

Answer to Question 2

ANS: A, B, D
Side effects of topical antibacterial medications include erythema, dryness, and burning; using the medications every other day will decrease the adverse effects. Dry eyes and nasal irritation are seen with use of isotretinoin, 13-cis-retinoic acid (Accutane).