Author Question: The nurse is teaching a female patient who will begin taking isotretinoin (Amnesteem) to treat ... (Read 106 times)

jerry coleman · **on:** Jul 23, 2018

The nurse is teaching a female patient who will begin taking isotretinoin (Amnesteem) to treat severe cystic acne. Which statement by the patient indicates understanding of the teaching?

a. I may get a 3-month supply of the medication with each refill.
b. I must abstain from intercourse while taking this drug.
c. I should avoid strenuous exercise when I am taking this medication.
d. I should take a vitamin A supplement while I am taking the medication.

Question 2

A patient who has psoriasis will begin taking etanercept (Enbrel). The nurse will ensure that which laboratory test is performed prior to initiating treatment with this drug?

a. Complete blood count (CBC) with differential
b. CD4 and T-cell count
c. Serum pregnancy test
d. Tuberculin test

kilada · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
Serious muscle damage may occur while taking this medication, so patients should avoid strenuous activity which can compound this effect. Patients must get monthly refills and must take a pregnancy test before each refill. Patients should use two reliable forms of birth control, but abstinence is not required. Vitamin A can compound the adverse effects of this medication.

Answer to Question 2

ANS: D
Enbrel can worsen infections, and patients taking this drug must have a tuberculin skin test prior to initiation of treatment. CBC, CD4, and T-cell counts are monitored during therapy with alefacept. A serum pregnancy test is not indicated.