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Practice Question

A nurse is reinforcing teaching with a client who is pregnant and has been prescribed isotretinoin for refractory nodular acne. The client expresses concern about potential side effects to their fetus. Which of the following responses by the nurse accurately addresses the client's concern and aligns with safe medication practices?

Answer Choices:

Correct Answer:

"Isotretinoin is contraindicated during pregnancy. You should stop the medication immediately and discuss alternative treatments with your health care provider.

Rationale:

✏️ Isotretinoin is a powerful retinoid that is highly teratogenic, meaning it can cause severe and irreversible fetal malformations.

✏️ Exposure during pregnancy is associated with craniofacial abnormalities, cardiac defects, central nervous system malformations, and miscarriage.

✏️ For this reason, isotretinoin is absolutely contraindicated in pregnancy, regardless of dose or duration.

✏️ Nurses must reinforce immediate discontinuation and referral to the provider for safer alternative acne treatments.

✏️ This response aligns with safe medication practices, patient education, and fetal protection standards.

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RN INTEGUMENTARY

47 Questions

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Question Details
  • Category: RN - Nursing Exam(s)
  • Subcategory: ATI Exams
  • Domain: ATI MED-SURG
  • Answer Choices: 4
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