Author Question: What value will require periodic monitoring for the client taking isotretinoin/13-cis-retinoic acid ... (Read 55 times)

genevieve1028 · **on:** Jul 24, 2018

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 · **Reply #1 on:** Jul 24, 2018

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.