The client with AIDS asks the nurse why so many medications are prescribed. What is the best response by the nurse?
1. "To decrease the possibility of the virus developing resistance to the medications."
2. "Because the earlier we start multiple medications, the better for you."
3. "To provide you with the most effective treatment for your illness."
4. "Research has shown single medications to be ineffective."
Correct Answer: 1
Rationale 1: Decreasing the possibility of resistance is the key.
Rationale 2: Decreasing the possibility of resistance describes more specifically the goal than does the effect of starting multiple medications earlier.
Rationale 3: Decreasing the possibility of resistance is a more specific reason to offer than is providing the most effective treatment.
Rationale 4: Decreasing the possibility of resistance, and not the fact that single medications are ineffective, is the reason for multiple medications.
Global Rationale: The simultaneous use of medications from several classes reduces the probability that HIV will become resistant to treatment. The remaining statements do not the patient's question or are not factual.
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When reviewing the pathophysiology of cystic fibrosis, the nurse recognizes that it is characterized by:
a. multiple upper respiratory infections. b. an underproduction of exocrine glands. c. excessive, thick mucus. d. an overproduction of thin mucus.
Which of the following actions would be inappropriate by the nurse when planning pain relief interventions for the patient with a history of substance abuse?
1. administering long-acting analgesics 2. treating pain with NSAIDs instead of opioid drugs 3. planning for comorbid psychiatric disorder treatment 4. using oral medications in place of intravenous ones when possible
Which condition is a restrictive pulmonary disease?
a. asthma c. chronic bronchitis b. emphysema d. pneumonia
The pregnant patient at 14 weeks' gestation is in the clinic for a regular prenatal visit. Her mother also is present
The grandmother-to-be states that she is quite uncertain about how she can be a good grandmother to this baby, because she works full-time. Her own grandmother was retired, and was always available when needed by a grandchild. The best response to this concern would be: 1. "Don't worry. You'll be a wonderful grandmother. It will all work out fine.". 2. "What are your thoughts on what your role as grandmother will include?" 3. "As long as there is another grandmother available, you don't have to worry.". 4. "Grandmothers are supposed to be available. You should retire from your job.".