A patient who has been taking efavirenz (Sustiva) reports a sore throat, fever, and blisters. What is your best action?

a. Hold the dose and notify the prescriber.
b. Document the report as the only action.
c. Remind the patient that these are symptoms of opportunistic infection.
d. Reassure the patient that these are common and expected side effects of the drug.


ANS: A

Nursing

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When performing the Heimlich maneuver on an adult client who is choking, the rescuer should stand behind the client, wrap the arms around the client's waist, and then:

a. make a fist and gently punch the abdomen b. give the client a firm hug c. call for help before initiating the process d. place fists below the xiphoid process and give a quick upward thrust

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A client is receiving intravenous fluids postoperatively following cardiac surgery. The nurse plans to explain to the family that nursing assessments will focus on which potential postoperative complication?

1. Fluid volume deficit 2. Fluid volume excess 3. Liver failure 4. Seizure activity

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The "honeymoon" is a specific phase of reality shock. What should the mentor do during this phase?

a. Share personal transition experiences with the mentee. b. Reinforce the need for the mentee to problem solve. c. Encourage the mentee to try new things. d. Act as the intermediary for the mentee with all staff members.

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An infant was born at 31 weeks' gestation and weighed 1430 g. What number of calories should this infant receive each day?

1. 72 2. 143 3. 200 4. 258

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