SAUNDERS NCLEX-RN MED-SURGE QUESTIONS AND ANSWERS LATEST UPDATE

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