A patient with psoriasis has been using a high-potency glucocorticoid. Because of skin atrophy, the provider has ordered a switch to calcitriol (Vecta), a vitamin D3 analog. What will the nurse teach this patient?
a. "Calcitriol causes severe photosensitivity."
b. "Itching, erythema, and irritation are indications of an allergic reaction."
c. "Systemic effects do not occur with this topical agent."
d. "You may apply calcitriol to all areas of the skin except the face."
ANS: D
Calcitriol may be applied twice daily to all areas except the face. It does not cause severe photosensitivity. Skin irritation does not occur. Systemic effects may occur.
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A newly diagnosed HIV-positive adolescent has blood work drawn, which includes a CD8 T-cell count. The nurse knows which of the following functions of CD8 T cells listed below will assist the adolescent's immune system in fighting off the viral attack? Se
A) Release destructive enzymes B) Trigger intracellular programmed death C) Cause allergens to surround the virus D) Boost antigen-antibody response E) Remove foreign material from lymph before it enters the blood
A nurse is explaining to a nursing student why blood pressure is a frequently used assessment parameter in a wide variety of care settings. What can be inferred from an assessment of a client's blood pressure?
A) The amount of oxygen available to tissues throughout the body B) The volume of the venous system relative to the volume of the arterial system C) The size of the client's heart muscle D) The resistance that the client's heart must overcome when pumping blood
In which case can the physician and nurse initiate care without consent?
1. A 15-year-old female who requests treatment for acne. 2. An 80-year-old client presenting with the flu who seems to be confused. 3. A 35-year-old male who is unconscious and in shock following an auto accident. 4. A 6-year-old child with a possible broken arm brought to the emergency room by a teacher.
A patient is brought to the emergency department with hemoptysis and is admitted to the unit diagnosed with tuberculosis
The prescriber has ordered isoniazid (INH) and rifampin (Rifadin), with the first dose to be given by the nurse now. The nurse should a. question the prescriber's order because of concerns about hepatotoxicity. b. administer the drugs per the physician's orders. c. instruct the patient that he should never have more than two alcoholic drinks per day. d. collect a sputum sample.