After starting an antiviral protease inhibitor, a patient with HIV telephones the nurse, complain-ing, "I'm so hungry and thirsty all the time! I'm urinating 10 or 12 times a day." The nurse re-cognizes these findings to be consistent with:
a. pancreatic infiltration by HIV.
b. allergic reaction.
c. nonadherence to the antiviral regimen.
d. hyperglycemia.
D
Protease inhibitors have been associated with hyperglycemia, new-onset diabetes, abrupt ex-acerbation of existing diabetes, and diabetic ketoacidosis. These symptoms are not consistent with pancreatic infiltration or an allergic reaction. No evidence indicates that the patient is non-compliant.
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A nurse is using an upstream intervention when working with the homeless population. Which of the following public health interventions will the nurse most likely use?
a. Case management b. Outreach c. Surveillance d. Community organizing
A patient has a split S1 heart sound. How should the nurse explain this finding to the patient?
1. "Your mitral and tricuspid valves are not closing at exactly the same time.". 2. "You probably have some calcification in the pulmonary valve that slows its closure.". 3. "Your aortic valve is closing more slowly than it should.". 4. "Your atrioventricular valves are not closing at exactly the same time.".
Which assessment is most important for the nurse to perform before administering a bronchodi-lator by inhalation?
a. Listening with a stethoscope to the patient's breath sounds b. Measuring blood pressure in the sitting and standing positions c. Asking questions to assess the patient's cognition and mental status d. Checking the oral mucous membranes for white or cream-colored patches
The patient has the right to refuse treatment.
Answer the following statement true (T) or false (F)