What value will require periodic monitoring for the client taking ...

[genevieve1028]

What value will require periodic monitoring for the client taking isotretinoin/13-cis-retinoic acid (Accutane)?
 
  1. Blood pressure
  2. Blood levels of vitamin A
  3. Triglycerides
  4. Heart rate

Question 2

The nurse is teaching a client about systemic medications that are used to treat psoriasis. Which medications are appropriate for the nurse to include in this teaching session? (Select all that apply.)
 
  Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  1. Dexamethasone (Decaspray)
  2. Betamethasone (Diprolene)
  3. Acitreten (Soriatane)
  4. Etretinate (Tegison)
  5. Diphenhydramine (Benadryl)

[Alyson.hiatt@yahoo.com]

Answer to Question 1

Correct Answer: 3

Rationale 1: Accutane does not increase blood pressure.
Rationale 2: Blood levels of vitamin A is incorrect because liver function should also be monitored in clients taking Accutane.
Rationale 3: Increased serum concentrations of triglycerides (by 50-70 percent) can occur in clients taking Accutane. This is a highly toxic metabolite of retinol or vitamin A, and must be used carefully.
Rationale 4: Accutane does not increase heart rate.

Global Rationale: Increased serum concentrations of triglycerides (by 5070 percent) can occur in clients taking Accutane. This is a highly toxic metabolite of retinol or vitamin A, and must be used carefully. Accutane does not increase blood pressure. Blood levels of vitamin A is incorrect because liver function should also be monitored in clients taking Accutane. Accutane does not increase heart rate.

Answer to Question 2

Correct Answer: 3, 4

Rationale 1: Dexamethasone (Decaspray) is a topical corticosteroid.
Rationale 2: Betamethasone (Diprolene) is a topical corticosteroid.
Rationale 3: Systemic medications for psoriasis include acitreten (Soriatane) and etretinate (Tegison). These drugs are taken orally to inhibit skin cell growth.
Rationale 4: Systemic medications for psoriasis include acitreten (Soriatane) and etretinate (Tegison). These drugs are taken orally to inhibit skin cell growth.
Rationale 5: Diphenhydramine (Benadryl) is an oral or topical antihistamine.

Global Rationale: Systemic medications for psoriasis include acitreten (Soriatane) and etretinate (Tegison). These drugs are taken orally to inhibit skin cell growth. Dexamethasone (Decaspray) is a topical corticosteroid. Betamethasone (Diprolene) is a topical corticosteroid. Diphenhydramine (Benadryl) is an oral or topical antihistamine.

[genevieve1028]

Excellent

[Dominic]

Gracias!