(Accutane) use- strict regimen, Requires iPledge (causes
birth defects). Must have negative pregnancy test before
starting, then q month during treatment, then 1 month
after completion. 30 day prescription given with no
refills. New 30-day prescription given after negative
pregnancy test confirmed. Contraception
MANDATORY 2 forms of birth control started 1 month
before treatment and given until 6 weeks after
completion, use water-based cosmetics.
2. When decreasing the use of infection for acne, the nurse
should include which of the following information when
counseling female’s adolescent? She can be required to
use contraceptives even if not currently sexually active
3. Acne SATA- what you should ask before starting
medication
4. Accutane- know all requirements -Isotretinoin (not
checking for hgb or hct. Will be checking for liver
function- cholesterol and triglycerides.
5. Growth and development- which toys appropriate for
specific age- A 7-year-old is hospitalized what would you
bring from the playroom? -Board game, Paper and
paint, Video game
,6. Communication: read a story to a 4-year-old to help
express communication.
7. Growth and development - What would a nurse’s priority
be for therapeutic nursing to consider before going into
the patient’s room? -Developmental stage
8. Kid compliance with meds- A mom takes her kid to the
ER and her child is not taking her medication how would
help with compliance Developmental age. Or rewards
system. Either one ( I think this was on the last exam)
9. Aplastic anemia- few questions- no ice, warm compress
is good!
10. Aplastic anemia- what is the main concern? risk for
bleeding due to thrombocytopenia. no raw fruits,
veggies, eggs, or meats (Q:NEEDS MORE
EDUCATION- kids with aplastic anemia can have
raw fruits or veggies)
11. Aplastic anemia- Risk for thrombocytopenia
12. Hemophilia- what to do if hemarthrosis happens-
priority? nursing care for hemarthrosis: SATA
immobilize of the affected joints/ to prevent joint
injury
, 13. Hemophilia- in hospital signs to be worried about- fever,
chest pain, etc.
14. Which statement would indicate to the nurse that the
patents of a child with hemophilia A need further
teaching? We gave our child Pepto-Bismol for his
stomachache
15. Hemophilia- risk of cranial hemorrhage- what is the most
concerning sxs and why? -Vomiting, confusion, lethargy
b/c intracranial hemorrhage AKA A child goes to the
school nurse who has hemophilia. (1) would cause the
nurse to become worried because of the chance of (2)?
(1)Vomiting, lethargic, decreased LOC, (2)-
Intercranial Hemorrhage
16. Hemophilia- Pt learning to walk. Encourage learning with
minimal risk for injury. Make it a safer place like inside,
carpet, cover corners, etc.
17. Hemophilia- nose bleed what do you do? Lean forward
and ice the bridge of nose. COLD compress
18. Iron deficiency anemia- age-appropriate admin for infant?
Giving iron med through a medicine cup REMEMBER
IT STAINS TEETH!