When discussing the use of dietary supplements with an HIV positive patient, the nurse should address the fact that even dietary supplements that have shown some efficacy to support their use may have adverse side effects and should be discussed with
the provider to assess for potential side effects or toxicities. A good example of this is would be the interaction between antiretroviral medications and: 1. Chamomile.
2. St. John's Wort.
3. Vitamin A.
4. Catnip.
2
Rationale: St. John's Wort has been reported to have numerous negative effects because it uses a similar drug metabolism pathway common to many drugs. Adverse side effects have been reported with numerous antiretroviral medications, especially protease inhibitors. Vitamin A has not been reported to have serious adverse effects, nor has chamomile, or catnip.
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The physician asks the nurse to take a smear from herpetic lesions in an older patient's hip to diagnose the disorder. The nurse recognizes that the probable test that will be performed is a:
1. culture and sensitivity to a bactericide. 2. Tzanck smear to test for viral culture. 3. CBC to assess the white blood count for response to a pathogen. 4. titration for the strength of the pathogen.
A client with a newly diagnosed DVT has been placed on bedrest. The rationale behind this physician order is:
a. The development of a stasis ulcer will be avoided. b. Bedrest will prevent an embolism from traveling and resulting in death. c. The nurse can assess peripheral pulses better with client on bedrest. d. Bedrest will prevent gangrene in this client.
A client tells the nurse that the timolol (Timoptic) eyedrops sting their eyes. Which response should the nurse provide the client?
A. "Hold the next dose and contact your healthcare provider." B. "This is a normal and expected effect of the drops." C. "Your eyedrops may have expired; check the date." D. "You should flush your eyes immediately with saline."
A nurse is teaching a seminar to parents of pediatric clients in the neonatal intensive care unit about various forms of nutrition their children might receive. Which of the following statements made by the nurse are true? Select all that apply.
A) Breast milk can be delivered through tube feeding, if needed B) Breast milk has a limited hang time of 1 hour C) If your child receives nutrition through a central line, they will need to be gradually weaned off. D) If your child receives nutrition through a central line, they may be disinterested in eating once they switch to oral nutritional intake. E) If you need to continue bolus feedings at home, you will likely use a closed system for tube feeding