A nurse is monitoring for the side effects of acyclovir (Zovirax). The nurse anticipates that the client may experience what side effect?
a. Hepatotoxicity
b. High blood pressure
c. Increased intracranial pressure
d. Rash and pruritus
ANS: D
These are some of the many potential side effects of this medication.
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You work in an intermediate care unit that has experienced high nursing turnover. The nurse manager is often considered to be an autocratic leader by staff members and her leadership style is contributing to turnover
You have asked to be involved in developing new guidelines to prevent pressure ulcers in your patient population. The nurse manager tells you that you do not yet have enough experience to be on the prevention task force. This situation and setting is an example of: a. a barrier to handoff communication. b. a work environment that is unhealthy. c. ineffective decision making. d. nursing practice that is not evidence-based.
When assessing a client's respiratory status, which nonrespiratory data is essential for the nurse to obtain?
A. Usual daily fluid intake B. Neck circumference C. Height and weight D. Occupation and hobbies
The nurse is caring for a client who is on coumadin due to a history of deep vein thrombosis. The teaching plan for the client must include instructions to avoid which of the following food choices?
1. Dark-green leafy vegetables 2. Fish 3. Fruit 4. Red meat
You are participating in end-of-shift report when a patient approaches the group of nurses, looks at a co-worker and loudly states, "You are all nasty
You are talking about me again, aren't you?" and proceeds to throw a cup of water at the group. You respond with the following statement or action: A) "It is not appropriate to approach us in that manner. I will meet with you after our report is complete." B) "You think we're talking about you? We are giving report. We talk about all patients at this time." C) Do nothing and ignore the patient. D) Call an assist code and have the patient placed in quiet room for a period of time.