Practice Quiz

NCLEX-RN

Category - Physiological

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A 26-year-old client who has a severe case of acne is being treated with isotretinoin (Accutane). During one follow-up visit, the client happily tells the nurse about her trip to the Caribbean Islands and that she is pregnant. Which of the following details should the nurse obtain at this time?
  1. The last menstrual period of the client
  2. If there is an improvement of her symptom.
  3. If the client experienced some side effects
  4. How long the client stayed under the sun
Explanation
Answer: A - Isotretinoin use is associated with birth defects. The nurse should obtain as much information about the pregnancy as possible. Ideally, clients using isotretinoin must discontinue this drug at least a month prior to becoming pregnant. The other statements are not as important as the pregnancy.
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