The nurse is caring for a patient who is human immunodeficiency virus (HIV) positive and is taking high doses of zidovudine (Retrovir). The nurse is providing patient education about the adverse effects of the medication
Which statement by the patient demonstrates a need for further teaching? a. "I may experience fatigue from anemia."
b. "I may be more susceptible to infection from neutropenia."
c. "I may have a deficiency of vitamin B6."
d. "I may have a deficiency of folic acid."
C
A deficiency of vitamin B12, not vitamin B6, would be expected; this statement indicates that further teaching is required.
With high-dose zidovudine, the patient can expect anemia, neutropenia, and folic acid deficien-cy.
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A toddler who is admitted to the pediatric unit is crying and scared. No treatment has been initiated at this point. The nurse needs to start an IV, and the parent asks, "Can I stay with my child and help through the procedure?"
In providing care for the family, which response by the nurse is appropriate? A) "I can teach you ways to help your child throughout the procedure if you would like to be involved." B) "We do this all the time, so don't worry. I will come get you when we are done" C) "Be ready to hold the child down when I tell you to." D) "I will be very quick so there is no need for you to stay for the procedure."
The Mini-Mental State Examination (MMSE) may be used to:
a. estimate cognitive changes quantitatively. b. estimate personality disorders qualitative-ly. c. diagnose neurologic disorders. d. determine the cause of memory loss.
Which of the following is a result of the effect of increasing healthcare costs on hospital admissions?
A) decreased length of hospital stay B) decreased number of surgeries C) increased hospital admissions D) fewer surgeries in ambulatory centers
When assessing a pregnant woman in her last trimester, which question would be most appropriate to use to gather information about weight gain and fluid retention?
A) "What's your usual dietary intake for a typical day?" B) "What size maternity clothes are you wearing now?" C) "How puffy does your face look by the end of a day?" D) "How swollen do your ankles appear before you go to bed?