1. Right Answer: A
Explanation: Accutane is a Category X drug, which means pregnancy is contraindicated due to teratogenesis associated with the medication. The pharmaceutical manufacturer should be notified of any pregnancy occurring while taking the drug, but reporting is voluntary. Choosing to terminate the pregnancy is a personal decision that requires full information. Consultation with a genetic specialist or OB physician is indicated. Safety and Infection Control
2. Right Answer: B
Explanation: Category X drugs have many practice limitations when prescribed and dispensed to women. For example, the prescription is valid for only seven days, and if not filled, it expires. The FDA provides a pregnancyprevention program for clients taking Isotretinoin (Accutane). Prior to prescribing a Category X drug, a pregnancy test should be performed. Safety and Infection Control
3. Right Answer: D
Explanation: Due to decreases in lean body mass, blood creatinine is not as good an indicator of the elderly clients renal function as creatinine clearance. Urinalysis and blood urea nitrogen reflect hydration status and other clues to health but are not specific for renal function. The electrolytes might be deranged in renal failure but are not a direct correlation to the kidneys capability to eliminate waste. Therefore, the best lab for renal function in the elderly is thought to be creatinine clearance, which is a widely used test for glomerular filtration rate. Safety and Infection Control
4. Right Answer: B
Explanation: Unless there is drug resistance, the initial prophylaxis based on CDC recommendations is 2 NNRTIs. Safety and Infection Control
5. Right Answer: B
Explanation: An untoward, adverse drug reaction associated with the quinolones is tendon rupture. Electrolyte imbalance has not been associated with the group, and antibiotic-associated colitis is most common in augmentin and penicillin groups. Safety and Infection Control
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