Difficulty: Medium
Average Score: 75%
Simulated
Passage / Scenario
History and Physical 2 weeks ago: Client is in the office for evaluation of acne vulgaris. Past medical history significant for worsening acne vulgaris, unresponsive to previous treatments. Client has been taking a combined oral contraceptive as directed for the past year. Comedones and cystic lesions on face, chest, and back. Acne scarring present on cheeks bilaterally and upper back. Liver function tests (LFTs), fasting lipid panel, serum human chorionic gonadotropin (hG) ordered today. Plan to follow up In 2 weeks for review of laboratory results and medication initiation.Select the 2 educational topics the nurse should prioritize when reinforcing education to the client about the prescribed medication.
Correct answer
B, D
Rationale
The correct answers are B and D. The nurse should prioritize educating the client on birth control and manifestations of depression. Birth control is crucial to prevent unintended pregnancies while on medication. Depression monitoring is essential due to potential side effects. Choices A, C, and E are less critical in the context of medication education. Vitamin A supplementation, skin dryness, and sunscreen application are important but not as immediate as birth control and depression monitoring in this case.