Which comments would the nurse interpret as indicating that a high school athlete understands the risks of using anabolic steroids?
1. "The only legal way I can take these drugs is if I inject them myself."
2. "Once I stop taking these drugs, my body will return to normal."
3. "As long as my coach says these drugs are okay, they won't hurt me."
4. "I might become mentally dependent on these drugs."
5. "I should not take ibuprofen while taking these other drugs."
4,5
Rationale 1: Self-injection does not make the use of steroids legal.
Rationale 2: The effects of anabolic steroids often last long after the drug is discontinued.
Rationale 3: Coaches are not the experts on the use of anabolic steroids and their effects on the body.
Rationale 4: Psychologic dependence is possible with use of anabolic steroids.
Rationale 5: Ibuprofen use could result in additive liver damage.
Global Rationale: Psychologic dependence is possible with use of anabolic steroids. Ibuprofen use could result in additive liver damage. Self-injection does not make the use of steroids legal. The effects of anabolic steroids often last long after the drug is discontinued. Coaches are not the experts on the use of anabolic steroids and their effects on the body. Reputable coaches should not tolerate the use of these drugs.
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An adolescent is examined and told that she has a sexually transmitted disease (STI). The patient is shocked and states,
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Burnout differs from reality shock in that:
A) Burnout occurs early in the nursing profession. B) Reality shock occurs late in the nursing profession. C) Professional frustration is the cause of burnout. D) Low expectations of the job cause reality shock.
Which patients should be given antibiotics prophylactically? (Select all that apply.)
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A liver transplant client is prescribed azathioprine and allopurinol. The nurse understands that when these two agents are used together:
a. the dose of the allopurinol must be less than half the normal dose. b. the dose of the azathioprine is reduced to 1/3 to 1/4 the normal dose. c. both doses are decreased when used simultaneously. d. there is no interaction between them, so no dose alterations are necessary.