Question

a nurse is reinforcing teaching with a female client who has a new prescription for isotretinoin. which of the following information should the nurse include in the teaching? (select all that apply.)

\you will need to have your liver enzymes monitored after 1 month.\

\you can have nosebleeds while taking this medication.\

\you should report any thoughts of harming yourself.\

\you will need to have two negative pregnancy tests prior to starting the medication.\

\you will need to take a vitamin a supplement twice daily.\

Explanation:

1. For "You will need to have your liver enzymes monitored after 1 month.": Isotretinoin can affect the liver, so liver enzyme monitoring is necessary. Correct.
2. For "You can have nosebleeds while taking this medication.": Isotretinoin can cause dryness of mucous membranes, leading to nosebleeds. Correct.
3. For "You should report any thoughts of harming yourself.": Isotretinoin has been associated with mood changes and suicidal thoughts, so reporting such thoughts is crucial. Correct.
4. For "You will need to have two negative pregnancy tests prior to starting the medication.": Isotretinoin is highly teratogenic, so strict pregnancy testing (two negative tests) is required before starting. Correct.
5. For "You will need to take a vitamin A supplement twice daily.": Isotretinoin is a vitamin A derivative, and taking additional vitamin A can cause toxicity. So this is incorrect.

Answer:

A. "You will need to have your liver enzymes monitored after 1 month."
B. "You can have nosebleeds while taking this medication."
C. "You should report any thoughts of harming yourself."
D. "You will need to have two negative pregnancy tests prior to starting the medication."