Zidovudine (Retrovir) has been prescribed to a client with HIV. The client asks why blood needs to be drawn on a regular basis. What is the most appropriate response by the nurse?
1. "This medication can cause an increase in red and white blood cells, and needs to be monitored."
2. "This medication can cause a secondary infection, so your blood needs to be monitored for this."
3. "Serum creatinine must be monitored for clients taking zidovudine."
4. "Reduced numbers of red and white blood cells are common, and need to be monitored."
4
Rationale 1: This medication causes a decrease in red and white blood cells.
Rationale 2:This medication does not cause a secondary infection. The medication can decrease the white blood cells that fight infections.
Rationale 3: Serum creatinine does not need to be monitored with this medication.
Rationale 4: Zidovudine can result in severe toxicity to blood cells at high doses. Reduced numbers of red blood cells (anemia) and white blood cells (leukopenia) are common, and can limit therapy.
Global Rationale: Zidovudine can result in severe toxicity to blood cells at high doses. Reduced numbers of red blood cells (anemia) and white blood cells (leukopenia) are common, and can limit therapy.
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The nurse is managing the care of a patient with osteoarthritis. Appropriate treatment strategies for osteoarthritis include:
A) Administration of narcotics for pain control B) Bed rest for painful exacerbations C) Administration of nonsteroidal anti-inflammatory drugs (NSAIDs) D) Vigorous physical therapy for the joints
For a client with a history of recurrent UTIs who is prescribed an acid-ash diet, the nurse would advise the client to include
a. alcohol. b. carbonated beverages. c. coffee. d. cranberry juice.
How does prostacyclin therapy reduce the pathologic problems of primary pulmonary hypertension?
A. Increasing lung blood flow by dilating pulmonary blood vessels B. Improving ventilation by increasing the contractility of the diaphragm C. Increasing gas exchange by changing the elasticity of the alveolar walls D. Protecting the heart from development of cor pulmonale by increasing cardiac muscle strength
A nurse is teaching a class to new parents on how to handle some of the behaviors that could be demonstrated by toddlers. One of the parents asks what to do when her child throws a temper tantrum. The nurse should reply:
A) "Hold the child tightly until he stops crying." B) "Put the child in a room alone and ignore the tantrum." C) "Try to be more attentive to the behaviors that lead into a tantrum. Then you can avoid them." D) "Make sure the child is safe, then walk away."