A Patient Has Severe Acne That Has Been Refractory to Treatment

question 8

Multiple Choice

A patient has severe acne that has been refractory to treatment. The patient is taking tetracycline and using topical tretinoin [Retin-A] and has been applying benzoyl peroxide twice daily. The provider asks the nurse to teach this patient about isotretinoin [Accutane], which the patient will begin taking in a few weeks. The nurse will include which statement when teaching this patient about this drug?

• A) "Alcohol may be consumed in moderation when taking this drug."
• B) "Skin rash, headache, and hair loss are common with this drug."
• C) "Tetracycline must be discontinued before beginning the isotretinoin."
• D) "Two pregnancy tests are required before each monthly refill of your prescription."

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Definitions:

Sternomastoid

Refers to the sternocleidomastoid muscle, which runs from the sternum and clavicle to the mastoid process of the skull, turning the head.

Sternohyoid

A muscle in the neck that depresses the hyoid bone and larynx during swallowing and speaking.

Teres Major

A muscle of the upper arm that assists in rotating and adducting the arm, located near the shoulder.

Intercostal Muscles

Muscles located between the ribs that help in the process of respiration, aiding in the expansion and contraction of the chest cavity.