A patient who is undergoing treatment for cytomegalovirus received his first dose of IV ganciclovir 3 days ago. When reviewing this patient's most recent blood work, what abnormality should the nurse most likely attribute to the use of this drug?
A) Hemoglobin 17 g/dL (high normal)
B) INR 3.8 (high)
C) Platelet count 118,000/mm3 (low)
D) Leukocytes 11,900/mm3 (high)
C
Feedback:
Ganciclovir causes granulocytopenia and thrombocytopenia in 20% to 40% of recipients, often during the first 2 weeks of therapy. Leukocytosis, increased hemoglobin, and hypocoagulation are not typical adverse effects associated with ganciclovir.
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The nurse is teaching a support group for caretakers of older adult clients. The focus is medication compliance. The nurse determines that learning has occurred when the caregivers make which response?
A. "We should crush their medicine and put it in applesauce so they will swallow it." B. "We should use a medication management box so they won't forget to take it." C. "We should ask the doctor if all the medication is really necessary." D. "We should give them more education about the medicine so they will take it."
Which of the following are the two most common forms of vaginal infections?
A. yeast infection and trichomoniasis B. chlamydia and herpes C. toxoplasmosis and human papillomavirus D. syphilis and gonorrhea
Bowel incontinence has no effect on the patient's self-esteem.
Answer the following statement true (T) or false (F)
The nurse is making a home care visit for the first time to a patient recently discharged after hip replacement surgery. Which of the following, if observed in the home, would the nurse document as safety concerns? (Select all that apply.)
a. The patient has a large birdcage sitting on the floor in the middle of the living room. b. The hallway between the bedroom and bathroom is partially blocked by a cedar chest. c. Smoke detectors are located in the kitchen and near the bedrooms. d. A bathmat towel is on the floor in front of the tub. e. The patient's recliner faces the television. f. A safety bar has been installed in the shower.