Which precaution is most important for the nurse to teach the client with HIV disease who is prescribed to start taking enfuvirtide (Fuzeon)?
A. "Rotate the injection site."
B. "Take your temperature twice daily."
C. "Do not rub or massage the injection site."
D. "Report any change in urine color to your health care provider."
A
The drug increases the risk for injection site infections and lipodystrophy if the injection site is not rotated. Teach the client all the best subcutaneous site for injections (see Chapter 68).
You might also like to view...
An elderly gentleman was shoveling his snow when you arrived for a home visit. You notice that when he comes inside he is very pale, is shivering, and seems a bit confused. His skin is very cold when you touch it
Which of the following actions would be most appropriate for the nurse to take first? a. Apply warm moist towels to his head, neck, chest, and groin b. Give him hot coffee with sugar to drink c. Have him get in a tub of very hot water immediately d. Call 911
Which of the following indexes of dispersion tends to be least stable—most likely to fluctuate from one sample to another from the same population?
a. Range b. IQR c. Standard deviation d. Variance
A client admitted to the hospital with a possible brain tumor has symptoms of increased thirst and hunger, despite an increase in weight, and complains of feeling cold all the time. Which region of the CNS system most likely has been affected?
1. Thalamus 2. Hypothalamus 3. Cerebellum 4. Limbic system
A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, "I shouldn't be crying like this. It happened a long time ago." Which responses by the nurse will facilitate communication? Select all that apply
a. "Why do you think you are so upset?" b. "I can see that you feel sad about this situation." c. "The loss of your parent is very painful for you." d. "Crying is a way of expressing the hurt you're experiencing." e. "Let's talk about something else because this subject is upsetting you.