The nurse is assigned to care for a client with cytomegalovirus retinitis and acquired immunodeficiency syndrome (AIDS) who is receiving foscarnet (Foscavir)
The nurse reviews the physician's prescriptions, expecting to note a prescription for which of the following laboratory tests while this client is taking the medication? 1. CD4+ cell count
2. Serum albumin level
3. Serum creatinine level
4. Lymphocyte count
3
Rationale: Foscavir is very toxic to the kidneys. Serum creatinine is monitored prior to therapy, 2 to 3 times weekly during induction therapy, and at least once weekly during maintenance therapy. It also may cause decreased levels of calcium, magnesium, phosphorus, and potassium in the bloodstream. Thus, these levels also are measured with the same frequency. The laboratory tests in "CD4+ cell count," "serum albumin level," and "lymphocyte count" are not specific to the medication.
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Since children with attention deficit hyperactivity disorder (ADHD) take medication for long periods of time, side effects must be considered. It is recommended that a child be assessed for side effects of the drug at regular intervals of:
a. 2 months. b. 4 months. c. 6 months. d. 8 months.
The nurse is providing care for a client requiring mechanical ventilation. When the nurse enters the room at the beginning of the shift, the client's monitor displays a heart rate of 64 and oxygen saturation of 88%. Which nursing action is the priority?
1. Increasing the oxygen concentration and quickly assessing the client 2. Removing the client from the ventilator and hyperoxygenating and hyperventilating the client 3. Assessing the client for airway obstruction 4. Checking ventilator settings
Clubbing of the nails occurs with which of the following clinical conditions?
a. iron deficiency ane-mia c. infection of the nail b. acute severe anemia d. long-standing hypoxia
The nursing instructor is presenting students with the theories that seek to explain interpersonal violence. According to the interpersonal theories, most rapists: Select all that apply
A) Do not have normal interpersonal involvements. B) Use extreme force and viciousness. C) Are preoccupied with their own fantasies. D) Practice brutality, and at times torture to stimulate their sexual excitement. E) Use coercion and deception to lure the victim to consent.