When planning care for a patient with herpes zoster, the nurse is aware that which of the following medications, administered within the first 24 hours of the initial eruption, can arrest herpes zoster?
A) Deltasone (Prednisone)
B) Azanthioprine (Imuran)
C) Triamcinolone (Kenalog)
D) Acyclovir (Zovirax)
Ans: D
Feedback: Intravenous acyclovir, if started early, is effective in significantly reducing the pain and halting the progression of the disease. There is evidence that infection is arrested if oral antiviral agents are administered within the first 24 hours. Prednisone is an anti-inflammatory agent used in a variety of skin disorders. Imuran is an immunosuppressive agent used in the treatment of pemphigus. Kenalog is utilized in the treatment of psoriasis.
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A preterm neonate received caffeine for the treatment of apnea. The nurse should monitor the neonate for which of the following?
A) Bloody stools B) Bradycardia C) Constipation D) Hypoglycemia
The nurse is documenting in the nurses' notes. Which of the following is appropriate nursing documentation? Select all that apply
A) "The leg wound is erythematous and dry, measuring 2 x 4 cm." B) "18-gauge Foley catheter inserted using sterile technique with 200 mL of urine returned. Client tolerated procedure without complaint." C) "The doctor circumcised the client." D) "Client's mother was rude to the respiratory therapist." E) "I gave the client morphine for her pain."
The nurse is preparing to assess a client who reports abdominal pain of 6 on a scale of 0 to 10. In order to best facilitate the abdominal assessment, the nurse:
1. Assists the client into the knees-bent supine position. 2. First medicates the client for the pain. 3. Encourages the client to take slow, deep breaths. 4. Palpates the client's abdomen last.
A patient given atropine (Atropine Sulfate) intravenously as a one-time dose for bradycardia now reports a very dry mouth. What is the nurse's best response?
a. Notify the prescriber immediately. b. Document the report as the only action. c. Reassure the patient that this is a normal drug response. d. Offer the patient the opportunity to brush his or her teeth and rinse the mouth.