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Author Question: A 16-year-old patient is diagnosed with severe nodulocystic acne vulgaris and is to receive ... (Read 52 times)

ENagel

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on: Jul 23, 2018
A 16-year-old patient is diagnosed with severe nodulocystic acne vulgaris and is to receive treatment with isotretinoin (Accutane). What patient education about medication side effects is appropriate for the nurse to provide?
 
  (Select all that apply.)
  a. You should wear protective clothing or sunscreen when outside.
  b. This medication may cause nosebleeds.
  c. You may experience an increase in hair growth.
  d. You may experience dryness or itching of the skin and nose.
  e. You may experience sores in the mouth.

Question 2

The nurse is reviewing personal knowledge of the medications used in the treatment of open-angle glaucoma. The nurse would be correct to identify which of the following medications? (Select all that apply.)
 
  a. Alpha2 agonists
  b. Prostaglandin analogs
  c. Anticholinergics
  d. Carbonic anhydrase inhibitors
  e. Beta blockers


Anonymous

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A, B, D
During treatment with isotretinoin, the patient's skin may become sensitized to ultraviolet light, therefore instructions to use sunscreen and wear protective clothing while outside are important. The nurse also should advise the patient that side effects associated with isotretinoin are nosebleeds; inflammation of the lips and eyes; dryness or itching of the skin, nose, and mouth; and pain, tenderness or stiffness in muscles, bones, and joints.
A less common reaction is hair loss, not increased hair growth.
Isotretinoin does not cause sores in the mouth.

Answer to Question 2

ANS: A, B, D, E
The nurse is correct to identify alpha2 agonists, prostaglandin analogs, carbonic anhydrase inhibitors, and beta blockers as the drugs used in the treatment of open-angle glaucoma.
Anticholinergic agents are used to produce mydriasis and cycloplegia to facilitate intraocular examination and intraocular surgery.


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ENagel

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


Anonymous

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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