An adolescent is prescribed tretinoin (Retin-A cream) as therapy ...

[CORALGRILL2014]

An adolescent is prescribed tretinoin (Retin-A cream) as therapy for acne. What should the nurse instruct the patient about this medication?
 
  A) Avoid unprotected sun exposure.
  B) Apply the cream while the face is wet.
  C) Avoid using the medication prior to bedtime.
  D) Avoid applying the cream directly on lesions.

Question 2

A group of nursing students are reviewing the different types of congenital heart disease in infants.
 
  The students demonstrate a need for additional review when they identify which of the following as an example of increased pulmonary blood flow (left-to-right shunting)? A) Atrial septal defect
  B) Tetralogy of Fallot
  C) Ventricular septal defect
  D) Patent ductus arteriosus

[Chocorrol77]

Answer to Question 1

A
Feedback:
A common prescription medication for acne is tretinoin (Retin-A cream). This medication reduces keratin formation and plugging of ducts. Adolescents should be cautioned to avoid prolonged sun exposure and to use a sunblock of SPF 15 or higher because the preparation makes their skin more susceptible than usual to ultraviolet rays. This medication is not typically applied to a wet face. It can be used prior to bedtime. It should be applied directly to lesions.

Answer to Question 2

B
Feedback:
Tetralogy of Fallot is a congenital heart condition that results from decreased, not increased, pulmonary blood flow. Atrial septal defect, ventricular septal defect, and patent ductus arteriosus are heart conditions that involve increased blood flow from higher pressure (left side of heart) to lower pressure (right side of heart), resulting in left-to-right shunting.