A patient is prescribed to begin highly active antiretroviral therapy (HAART). What is the most important question the nurse asks this patient before beginning therapy?
a. "Do you have any symptoms now of active infection?"
b. "Is there any possibility that you are pregnant?"
c. "Are you currently sexually active?"
d. "What other drugs do you take?"
D
Before giving an antiretroviral drug, always obtain a list of all other drugs the patient also takes, because antiretroviral drugs interact with many other drugs. Check with the pharmacist for poss-ible interactions and the need to consult the prescriber about dosage or changing the patient's other drugs.
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When assessing the abdomen, how long must the nurse listen to the abdomen to be able to accurately chart that bowel sounds are absent?
a. 30 seconds in each quadrant c. 3 minutes b. 1 minute d. 5 minutes
A nurse is preparing a patient for allergy skin testing. Which of the following precautionary steps is most important for the nurse to follow?
A) The patient must not have received an immunization within 7 days. B) The nurse should administer albuterol 30 to 45 minutes prior to the test. C) Prophylactic epinephrine should be administered before the test. D) Emergency equipment should be readily available.
The nurse is assessing a patient who is experiencing a relapse of symptoms of schizophrenia. The nurse knows that the patient's abilities in which areas will have the greatest impact on the plan of care? Select all that apply
1. Listening 2. Concentration 3. Decision making 4. Retaining new information 5. Maintaining adequate coping strategies
The family scenario that presents the greatest risk for family violence is
a. a husband who is unemployed and has low self-esteem associated with lack of employability, a wife who loses her job, and a developmentally delayed 3-year-old son. b. a husband who finds employment 2 weeks after a layoff from his previous job, a wife who has stable employment, and a child doing well in school. c. a single mother with an executive position, a 10-year-old precocious daughter, and a widowed grandmother living in the household to provide child care for the 10-year-old child. d. a single gay male parent, an adolescent son who has just begun dating girls, and the father's unmarried sister who has come to visit for 2 weeks.