The nurse is caring for a client who is HIV positive. The client has become confused over the course of the shift, and the client's pupils are no longer reacting to light equally. The nurse an-ticipates an order for which medication?
a. Prednisone (Deltazone)
b. Trimethoprim/sulfamethoxazole (Bactrim)
c. Pentamidine isethionate (Pentam)
d. Ketoconazole (Nizoral)
A
Confusion and changes in pupillary assessment in an HIV-positive client indicate increased in-tracranial pressure (ICP). Increased ICP in these clients is managed with corticosteroids like prednisone. Bactrim is an antibiotic, Pentam is an antiprotozoal, and Nizoral is an antifungal me-dication.
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An adult patient has had symptoms of unstable angina during admission to the hospital. What is the most appropriate nursing diagnosis?
A) Deficient knowledge about underlying disease and methods for avoiding complications B) Anxiety related to fear of death C) Ineffective tissue perfusion (total body) related to reduced oxygen supply to the heart D) Noncompliance related to failure to accept necessary lifestyle changes
How should the nurse advise parents whose preschooler used to sleep through the night and now awakens at intervals after a short hospitalization?
a. Regressive behavior after a hospitalization is normal and usually short term. b. The child is probably expressing anger. c. Egocentric behavior often manifests itself when the child is left alone to sleep. d. The child is probably feeling pain and needs further evaluation.
A 5-year-old patient is being treated for diabetic ketoacidosis. The patient's blood glucose is normalizing and acidosis has been partially corrected. The child's mother says, "This is the best rest he has gotten since we arrived yesterday
He hasn't moved in the last 20 minutes.". What nursing interventions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Dim the lights in the room to allow the child and mother to rest. 2. Wake the child and assess for changes in mental status. 3. Discontinue the 0.9NS IV infusion. 4. STAT page the child's health care provider. 5. Check the child's pupillary response.
When collecting data on a child with hydrocephalus, in addition
to the child likely having a large head at birth and rapid head growth, which sign should the nurse recognize as a manifestation of this disorder? A) Posterior fontanelle bulging and tense B) Eyes appear to be pushed downward C) Hands short with curved fingers D) Neck area is thickened and strong