The nurse is teaching a patient who will receive acyclovir for a herpes virus infection. What information will the nurse include when teaching this patient?
a. Blood cell counts should be monitored closely.
b. Dizziness and confusion are harmless side effects.
c. Increase fluid intake while taking this medication.
d. Side effects are rare with this medication.
ANS: C
Patients taking acyclovir should increase fluid intake to maintain hydration. A complete blood count is not required. Dizziness and confusion should be reported to the provider. Antiviral medications have many side effects.
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During a psychoeducational group on assertiveness training a client asks, "Why do we need to learn about this stuff?" Which is the most appropriate nursing response?
A) "Because your doctor requires you to attend this group." B) "Being assertive is the ability to stand up for yourself while respecting the rights of others." C) "Assertiveness training teaches you how to ask for what you want." D) "Assertive people are in tune with the needs and rights of others."
During the health history portion of the assessment, the client states, "I have sickle-cell trait." The nurse realizes that:
1. precautions should be taken to prevent the cell from sickling. 2. the client is a carrier. 3. the client will show signs of the disease as she grows older. 4. the client will transmit the disease to any offspring.
Conflicting communications from staff involved in the care of the child may contribute to challenging behaviors on the part of the child's caretakers. Which, if any, of the following might contribute to conflicting communications?
1. Shift and service rotations of staff during the course of the child's stay 2. Documentation deficits 3. Diversity of communication styles and skills 4. All of the above
Cite examples or scenarios where you might decide to assist the incontinent patient in toileting, rather than delegating this task to the UAP
What will be an ideal response?