The client with acquired immunodeficiency syndrome (AIDS) and Pneumocystis jiroveci infection has been receiving pentamidine (Pentam 300). The nurse caring for the client monitors the client most closely for signs of:
1. Nausea
2. Fatigue
3. Infection
4. CD4+ cell count
3
Rationale: Adverse effects of pentamidine (Pentam 300) include leukopenia, thrombocytopenia, and anemia. The client should be monitored routinely for signs and symptoms of infection. The client also should have ongoing monitoring of a number of parameters because of the nature and side effects of the medication, including complete blood cell count, liver function, blood glucose, blood urea nitrogen, and serum creatinine, calcium, and magnesium levels.
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a. "Make sure to use sunscreen." b. "Take the medication with food." c. "Report any muscle pain immediately." d. "Report any nausea or stomach upset."
A client is being weaned from a tracheostomy tube and has tolerated capping of the tube for 24 hours. Which action by the nurse is most appropriate?
a. Collect all materials needed for suturing the stoma shut. b. Place a dry dressing over the stoma and tape it securely. c. Assess the client for air leaking around the tube. d. Select a smaller tracheostomy tube to be inserted.
A client comes to the clinic reporting pain and itching from blisters on both arms. This finding indicates an abnormality in which layer of the skin?
a. Adipose tissue b. Dermis c. Epidermis d. Stratum corneum
The nurse is assessing a client's right lower extremity and notes an area of redness. Which part of the hand will the nurse use to further assess the client's skin?
A. Ulnar surface. B. Metacarpophalangeal joints. C. Dorsal surface. D. Fingertips.