A female patient is prescribed tretinoin (Retin-A). What should ...

[LaDunn]

A female patient is prescribed tretinoin (Retin-A). What should the nurse instruct the patient about this medication?
 
  Select all that apply.
  1. Wear protective clothing when out of doors.
  2. Avoid the use of vitamin A supplements.
  3. Use caution when driving at night.
  4. Apply to clean, dry skin.
  5. Use a reliable form of contraception one month prior to and during use of the medication.

Question 2

The nurse instructs a patient who is prescribed oral griseofulvin for a fungal infection of the nails to take the medication with food. Which foods should the nurse recommend to the patient?
 
  Select all that apply.
  1. ice cream
  2. cheese
  3. crackers
  4. pretzels
  5. alcohol

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Answer to Question 1

Correct Answer: 1, 4
The medication could cause hypersensitivity to sun. There is no reason to avoid the use of vitamin A supplements. There is no need to exercise caution during night driving when using this medication. The medication should be applied to clean dry skin. There is no need to alter birth control approaches when using this medication.

Answer to Question 2

Correct Answer: 1, 2
The medication should be taken with meals or food high in fat to avoid stomach upset and to help with absorption such as ice cream or cheese. Crackers and pretzels are high-carbohydrate, but lower fat foods. Alcohol should be avoided since it may cause rapid pulse and flushing in patients prescribed griseofulvin.