Author Question: A nurse is discussing the use of tazarotene (Tazorac) with a patient who has psoriasis. Which ... (Read 14 times)

dmcintosh · **on:** Jul 23, 2018

A nurse is discussing the use of tazarotene (Tazorac) with a patient who has psoriasis. Which statement by the patient indicates a need for further teaching?

a. I should use a sunscreen when using this medication.
b. I understand the gel can cause staining of clothing.
c. I will apply this once daily in the evening.
d. I will apply the medication to dry skin.

Question 2

A patient has severe acne that has been refractory to treatment. The patient is taking tetracycline and using topical tretinoin (Retin-A) and has been applying benzoyl peroxide twice daily.

The provider asks the nurse to teach this patient about isotretinoin (Accutane), which the patient will begin taking in a few weeks. The nurse will include which statement when teaching this patient about this drug?
a. Alcohol may be consumed in moderation when taking this drug.
b. Skin rash, headache, and hair loss are common with this drug.
c. Tetracycline must be discontinued before beginning the isotretinoin.
d. Two pregnancy tests are required before each monthly refill of your prescription.

underwood14 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
Tazarotene will not stain clothing. It is true that patients should use sunscreen while using this drug. It should be applied once daily in the evening to dry skin.

Answer to Question 2

ANS: C
Adverse effects of isotretinoin can be increased by tetracyclines, so tetracycline must be discontinued before therapy is started. Alcohol should be avoided, since it can potentiate hypertriglyceridemi a. Skin rash, headache, and hair loss are not common side effects, although they can occur. Two pregnancy tests are required at the beginning of therapy; at each refill, only one pregnancy test is required.