What methods should the nurse use to measure compliance to a treatment plan? (Select all that apply.)
a. Pill counts
b. Chemical assays
c. Direct observation
d. Third-party reporting
e. Monitoring therapeutic response
ANS: A, B, C, E
Assessment of compliance must include direct measurement techniques. Pill counts, chemical assays, direct observation, and monitoring therapeutic response are direct measurement techniques. Third-party reporting would not always be available and would not be a method to measure compliance.
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Patience is 29 years old and has been HIV positive for 9 years. She has remained asymptomatic and is not taking antiretroviral medication
Recently she was at the drop-in clinic to talk to a public health nurse about having a baby through artificial insemination. She said she had met a man who wanted to marry her and have children with her, but she was concerned about the baby contracting HIV. Her latest blood tests indicated her CD4+ count was 380/ µL. The PCR test indicated her viral load was 850. The nurse referred her to the physician to discuss antiretroviral therapy during her pregnancy. What are the factors that increase the chance of HIV transmission from mother to infant, and how the transmission occurs? Patience was told that after she became pregnant, she would begin HAART therapy. Describe what this therapy is and what particular antiretroviral medication would be particularly useful to her during her pregnancy. What concern is there about administering certain antiretrovirals early in the pregnancy? Individuals with HIV are prone to contracting opportunistic infections. What are opportunistic infections and the risk factors that leave an individual with HIV particularly prone to contracting this type of illness?
The nurse researcher is reading theoretical and clinical articles to have a broad view of the topic and related concepts before reviewing existing EBP guidelines. The nurse researcher begins the process of reading the articles by doing what?
a. Reading evidence-based guidelines and evidence reports b. Reading systematic review articles and synthesis reports c. Reading theory articles to understand theoretical perspectives in critiquing studies d. Reading research articles including meta-analyses
A pediatric client weighing 77 lbs. is prescribed fluid maintenance. How many mL per hour will the nurse set the infusion pump?
1. 75 mL 2. 150 mL 3. 225 mL 4. 300 mL
A client diagnosed with a neurocognitive disorder is exhibiting behavioral problems on a daily basis. At change of shift, the client's behavior escalates from pacing to screaming and flailing
Initially, which action should a nurse implement in this situation? A. Consult the psychologist regarding behavior-modification techniques. B. Medicate the client with prn antianxiety medications. C. Assess environmental triggers and potential unmet needs. D. Anticipate the behavior and restrain when pacing begins.