When collecting data related to the present illness, the nurse must obtain detailed and comprehensive data. What does this data help to establish?
a. A nursing diagnosis
b. A nursing care plan
c. Appropriate interventions
d. Nursing orders
ANS: C
The data collected related to the present illness must be detailed and comprehensive to allow planning of appropriate interventions.
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A patient is receiving a glucocorticoid medication to treat an inflammatory condition, and the provider has ordered a slow taper in order to discontinue this medication. The nurse explains to the patient that this is done to prevent which condition?
a. Acromegaly b. Adrenocortical insufficiency c. Hypertensive crisis d. Thyroid storm
Procedure manuals provide:
a. An abbreviated course of action b. A basis for orientation and staff development c. A resource only for nurse managers d. A low degree of regularity
The nurse is performing a physical assessment on a patient who is receiving treatment with the abacavir, zidovudine, and lamivudine (Trizivir). The patient complains of fatigue
Upon further assessment, the nurse finds a rash and notes that the patient has a temperature of 101.1° F. Select the nurse's best course of action. a. Tell the patient that this is a expected response to these medications and to continue the agents as prescribed. b. Have the patient discontinue the medications and arrange for an immediate evaluation by the prescriber. c. Have the patient continue the abacavir but discontinue the other two agents for 3 weeks. d. Instruct the patient to continue all three medications and administer an antihistamine for the symptoms.
Select the statement that accurately describes the difference between immunomodulation and immunosuppression.
A. Immunosuppressive drugs are used after organ transplantation and in the treatment of severe inflammatory and allergic conditions when the immune system is hyperactive, whereas immunomodulating drugs are used to treat diseases in which the activity of the immune system is beneficial. B. Immunosuppressive drugs can be administered orally, whereas immunomodulating drugs can be administered only through injections or IV. C. Immunosuppression refers to drugs and biological factors that decrease immune activity, and immunomodulation refers to actions or drugs that stimulate the activity of the immune system. D. All of these are correct.