A patient who has genital herpes has frequent outbreaks. The patient asks the primary care NP why it is necessary to take oral acyclovir all the time and not just for acute outbreaks. The NP should explain that oral acyclovir may:
a. prevent the virus from developing resistance.
b. cause episodes to be shorter and less frequent.
c. actually eradicate the virus and cure the disease.
d. reduce the chance of transmitting the virus to others.
B
Oral acyclovir has prevented or reduced the frequency of severity of recurrences in more than 95% of patients and so should be given to patients with recurrent episodes. It does not affect resistance. The antiviral medication does not eradicate the virus; it prevents replication. The disease is transmitted even without symptoms.
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The nurse is giving discharge instructions to the parents of a child whose adrenal glands have been removed due to a tumor. The nurse knows that the mother needs more instructions when the mother states:
1. "I will call the doctor if my child has restlessness and confusion." 2. "If my child has any gastric irritation, I will give him antacids." 3. "If my child has vomiting and diarrhea, I will hold his hydrocortisone." 4. "I will give my child his hydrocortisone in the morning."
The hospital's mission statement includes the phrase, "We are committed to providing multicultural services." An example of carrying out this mission is:
a. Supporting dialogue between individuals of different cultures b. Ensuring that patients of different cultures have translation services available c. Providing services only for English-speaking patients d. Excluding different cultural practices
A patient states to the nurse, "I understand that I need a mastectomy for the treatment of my breast cancer, but I am fearful of learning about the drains I will need to empty." This is an example of
A) Affective learning B) Psychomotor learning C) Cognitive learning D) Behavioral learning
The nurse is reviewing lab results for a patient with hypoxemia. The nurse is aware that which of the following results may worsen the patient's hypoxemia? (Select all that apply.)
a. Low sodium levels b. Low hemoglobin levels c. Increased blood pH d. Decreased blood pH