A pregnant patient is HIV-positive. Which antiretroviral agent will the nurse expect the patient's provider to order?

a. Abacavir/lamivudine/zidovudine (Trizivir)
b. Efavirenz/emtricitabine/tenofovir (Atripla)
c. Lamivudine/zidovudine (Combivir)
d. Rilpivirine/emtricitabine/tenofovir (Complera)


ANS: C
Antiretroviral therapy is strongly recommended for all pregnant HIV-infected patients. The preferred dual nucleoside reverse transcriptase inhibitor is Combivir.

Nursing

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A client with a history of congestive heart failure is prescribed propranolol (Inderal) for control of ventricular tachycardia. Which instruction is most important for the nurse to provide to this client?

1. "Report nausea to your health care provider." 2. "Immediately report an increase of shortness of breath or weight gain of 2 pounds over 1 day." 3. "Weigh yourself each day at approximately the same time, with the same amount of clothing." 4. "Exercise at least 30 minutes daily."

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The bladder voids approximately ________ mL of urine at a time.

Fill in the blank(s) with the appropriate word(s).

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The nurse is making client assignments for the next shift. Which client is most likely to experience a complicated labor pattern?

1. 34-year-old gravida 6 at 39 weeks' gestation with twins 2. 43-year-old gravida 2 at 37 weeks' gestation with hypertension 3. 22-year-old gravida 1 at 23 weeks' gestation with ruptured membranes 4. 30-year-old gravida 3 at 41 weeks' gestation and estimated fetal weight 7 lb, 8 oz

Nursing

The nurse is discussing measures to minimize the risk of injury from an automobile accident with an 84-year-old independent female client who lives alone and claims to drive only to church, the doctor's office, and for groceries

Which of the following suggestions has the greatest potential for affecting the client's safety? a. Take public transportation whenever it is available. b. Plan all trips around church and doctor appointments. c. Plan to drive for short trips and only during daylight hours. d. Arrange for family and friends to drive the client whenever possible.

Nursing