Difficulty: Medium
Average Score: 74%
Simulated
Passage / Scenario
A 17-year-old female client who has severe acne.A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following adverse effects should the nurse instruct the client is the priority to report immediately to the provider?
Correct answer
D
Rationale
The correct answer is D: Feelings of isolation and depression. This is the priority adverse effect to report immediately because isotretinoin is known to potentially worsen depression and lead to suicidal thoughts in some individuals, especially adolescents. Prompt reporting and intervention are crucial to prevent any harm.
A: Back pain is a common but not typically severe adverse effect of isotretinoin.
B: Frequent nosebleeds are a common side effect of isotretinoin and usually do not require immediate reporting.
C: Itching of the skin is a common side effect of isotretinoin and can usually be managed with moisturizers or other interventions.
In summary, feelings of isolation and depression are the priority to report immediately due to the serious implications of worsening mental health.
A: Back pain is a common but not typically severe adverse effect of isotretinoin.
B: Frequent nosebleeds are a common side effect of isotretinoin and usually do not require immediate reporting.
C: Itching of the skin is a common side effect of isotretinoin and can usually be managed with moisturizers or other interventions.
In summary, feelings of isolation and depression are the priority to report immediately due to the serious implications of worsening mental health.