55. An adolescent with acne is placed on a course of tetracycline. What important environmental controls should a nurse emphasize to the adolescent when teaching the adolescent about the medication? Select all that apply.
Test-Taking Tip
Note the word "environmental" in the stem of the question; think "outdoors" and then think "sun."
Content Area: Child Health, Integumentary; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Adverse Effects/Contraindications/Interactions
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Answer 1 is correct because a side effect of tetracycline is photosensitivity/phototoxicity. The nurse's teaching should include instructing the adolescent to avoid exposure to the sun or to minimize exposure to the sun with the use of a hat. Answer 2 is correct because photosensitivity is a side effect of tetracycline. Wearing long-sleeved shirts will minimize the exposure to the sun. Answer 3 is correct because photosensitivity is a side effect of tetracycline. Wearing sunglasses reduces exposure to the sun. Answer 4 is correct because photosensitivity is a side effect of tetracycline. Applying sunscreen minimizes exposure to the sun. Answer 5 is incorrect because it is not necessary to wear heavy socks; just covering exposed parts of skin to protect from sun exposure is important.