The nurse is caring for patients who have been exposed to the influenza virus. For which patients should the nurse recognize that the antiviral drug zanamivir (Relenza) would be contraindicated?
Select all that apply.
1. patient with arthritis
2. patient with heart failure
3. patient diagnosed with COPD
4. patient being treated for asthma
5. patient with type 2 diabetes mellitus
Correct Answer: 3, 4
The antiviral drug zanamivir (Relenza) may be used to reduce the duration and severity of flu symptoms. Zanamivir can precipitate bronchospasm in patients with a history of asthma or chronic obstructive pulmonary disease (COPD) and is not recommended for use in these patients. This medication is not contraindicated in patients with arthritis, heart failure, or type 2 diabetes mellitus.
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The nurse is caring for a laboring client. A cervical exam indicates 8 cm dilation. The client is restless, frequently changing position in an attempt to get comfortable. Which nursing action is most important?
1. Leave the client alone so she can rest. 2. Ask the family to take a coffee-and-snack break. 3. Encourage the client to have an epidural for pain. 4. Reassure the client that she will not be left alone.
The nurse is preparing a care plan for a person with late-stage Parkinson's disease. What complications should the nurse plan interventions to address? (Select all that apply.)
a. Dysphagia b. Hallucinations c. Immobility d. Insomnia e. Urinary incontinence
What intervention is most important to teach the client about identifying the onset of dehydra-tion?
a. Measuring abdominal girth b. Converting ounces to milliliters c. Obtaining and charting daily weight d. Selecting food items with high water con-tent
Which of these borrowed theories offers a framework to influence people's behavior?
A) Ajzen's Theory of Planned Behavior B) Becker's Health Belief Model C) Lazarus and Folkman's Theory of Stress and Coping D) Procheska and Velicer's Stages of Change Model