A patient who has HIV has been receiving a two-drug combination therapy for 6 months. At an annual physical examination, the primary care NP notes that the patient has a viral load of 60 copies/mL and a CD4 cell count of 350 cells/mm
The NP should contact the patient's infectious disease specialist to discuss: a. changing one of the medications.
b. changing both of the medications.
c. increasing the dose of both medications.
d. discontinuing the medications for a short period.
B
This patient has a high viral load and a low cell count. When changing medications, both medications should be changed.
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The perioperative nurse manager and the postoperative unit manager are concerned about the increasing number of surgical infections in their hospital. What action by the managers is best?
a. Audit charts to see if the Surgical Care Improvement Project (SCIP) outcomes were met. b. Encourage staff on both units to provide peer pressure to adhere to hand hygiene policy. c. Hold educational meetings with the nursing and surgical staff on infection prevention. d. Monitor staff on both units for consistent adherence to established hand hygiene practices.
The nurse who is caring for a patient with suspected acute tracheobronchitis recognizes that the diagnosis of tracheobronchitis will be confirmed by a:
A) Chest x-ray B) Bronchoscopy C) Biopsy of lung tissue D) Sputum culture
Gas, electricity, and phones are considered:
a. fixed costs. c. direct expenses. b. variable costs. d. indirect expenses.
A 69-year-old client has been diagnosed with cardiomyopathy. The nurse gives the client a nursing diagnosis of powerlessness because the client has said that she feels sad and angry about what she will miss out on with her diagnosis. Which nursing intervention is most appropriate for this nursing diagnosis?
a. Help the client identify factors that she can control b. Have the client write down all of the things she likes about herself c. Have the client talk to another client who also has the diagnosis of powerlessness d. Talk about the client's feelings before she is dismissed to go home