NCLEX-RN MED-SURGE SAUNDERS QUESTIONS AND ANSWERS 2025- 2026

Isotretinoin is prescribed for a client with severe cystic acne. The nurse provides
instructions to the client regarding administration of the medication. Which phrase
stated by the client indicates a need for further teaching regarding this medication?
1."I need to continue to take my vitamin A supplements."
2."The medication may cause dryness and burning in my eyes."
3."I need to use emollients and lip balms for my dry skin and lips."
4."I will need to return for a blood test to check my triglyceride level."
1."I need to continue to take my vitamin A supplements."
Rationale: In severe cystic acne, isotretinoin is used to inhibit inflammation. Adverse effects
include elevated triglyceride levels, skin dryness, eye discomfort such as dryness and
burning, and cheilitis (lip inflammation). Close medical follow-up is required, and dry skin
and cheilitis can be decreased by the use of emollients and lip balms. Vitamin A
supplements are stopped during this treatment.
In planning care for the client with psoriasis, the nurse understands that which
represents a priority client problem?
1.Fatigue
2.Constipation
3.Impaired safety
4.Altered body image
Altered body image
Psoriasis is an autoimmune dermatitis that is expressed as silvery scales on reddishcolored skin on areas such as scalp, elbows, hands, and knees. Onset of the disease
generally occurs before age 40, with symptoms varying in intensity from mild to severe. Skin
disorders, particularly when experienced by young persons and particularly when visible on
exposed body parts, can cause significant psychosocial distress. Altered body image is a
priority client problem that should be considered when planning care for a client with
psoriasis. The remaining options are not priority client problems associated with psoriasis.
The nurse expects to note which prescription for a client with a skin infection that
extends into the dermis?