Author Question: An adolescent patient with moderate acne has begun a regimen consisting of combination ... (Read 102 times)

Shelles · **on:** Jul 23, 2018

An adolescent patient with moderate acne has begun a regimen consisting of combination clindamycin/benzoyl peroxide (BenzaClin) and tretinoin (Retin-A).

Which statement by the patient indicates understanding of this medication regimen?
a. I should apply the Retin-A immediately after bathing.
b. I should apply the Retin-A twice daily.
c. I should augment this therapy with an abrasive soap.
d. I should use sunscreen every day.

Question 2

A 50-year-old patient asks about using tretinoin (Renova) to minimize wrinkles. What will the nurse will tell the patient?

a. The drug may be discontinued once results are obtained.
b. Results may be visible within a few weeks of starting therapy.
c. Systemic toxicity is a common effect in patients with sensitive skin.
d. The drug is not effective on coarse wrinkles or sun-damaged skin.

LVPMS · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Tretinoin increases susceptibility to sunburn, so patients should be warned to apply a sunscreen and wear protective clothing. Before applying Retin-A, the skin should be washed, toweled dry, and allowed to dry fully for 15 to 30 minutes. Retin-A is applied once daily. Abrasive soaps intensify localized reactions to Retin-A and should not be used.

Answer to Question 2

ANS: D
Tretinoin is used to treat fine wrinkles, not coarse wrinkles, and does not repair sun-damaged skin. Treatment with Renova must continue to maintain the response to the drug. Results are not visible for up to 6 months after beginning therapy. Systemic toxicity is not common.