Author Question: Tretinoin (Retin-A) is a commonly used topical agent for the treatment of acne. What do nursing ... (Read 27 times)

Bernana · **on:** Jun 28, 2018

Tretinoin (Retin-A) is a commonly used topical agent for the treatment of acne. What do nursing considerations with this drug include?

a. Sun exposure increases effectiveness.
b. Cosmetics with lanolin and petrolatum are preferred in acne.
c. Applying of the medication occurs at least 20 to 30 minutes after washing.
d. Erythema and peeling are indications of toxicity and need to be reported.

Question 2

What guidelines should the nurse use when interviewing adolescents? (Select all that apply.)

a. Ensure privacy.
b. Use open-ended questions.
c. Share your thoughts and assumptions.
d. Explain that all interactions will be confidential.
e. Begin with less sensitive issues and proceed to more sensitive ones.

elizabethrperez · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

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. Cosmetics with lanolin, petrolatum, vegetable oil, lauryl alcohol, butyl stearate, and oleic acid can increase comedone production. Erythema and peeling are common local manifestations.

Answer to Question 2

ANS: A, B, E
Guidelines for interviewing adolescents include ensuring privacy, using open-ended questions, and beginning with less sensitive issues and proceeding to more sensitive ones. The nurse should not share thoughts but maintain objectivity and should avoid assumptions, judgments, and lectures. It may not be possible for all interactions to be confidential. Limits of confidentiality include a legal duty to report physical or sexual abuse and to get others involved if an adolescent is suicidal.