The nurse assesses that the client is experiencing an adverse reaction to acyclovir (Zovirax) when the client exhibits which reaction?
a. Paralytic ileus
b. Liver failure
c. Leukopenia and thrombocytopenia
d. Gastric ulceration
ANS: C
Bone marrow suppression subsequent to this medication may cause white blood cell and platelet levels to fall.
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The nurse is assessing a child with suspected thalassemia. Which of the following physical findings would the nurse expect to find during the course of the examination?
A) Dactylitis B) Frontal bossing C) Presence of clubbing D) Presence of spooning
A nurse is caring for a patient who has been admitted for the treatment of advanced cirrhosis. What assessment should the nurse prioritize in this patient's plan of care?
A) Measurement of abdominal girth and body weight B) Assessment for variceal bleeding C) Assessment for signs and symptoms of jaundice D) Monitoring of results of liver function testing
A patient recovering from a CVA asks the purpose of the warfarin (Coumadin). What is the best response by the nurse regarding the purpose of Coumadin?
a. Dissolves the clot. b. Prevents the formation of new clots. c. Dilates the vessels to improve blood flow. d. Suppresses the formation of platelets.
One major requirement of a nursing diagnosis is that it focuses on a problem that is:
A) established by the physician. B) based on the client's pathophysiology. C) legally treatable by registered nurses. D) included within the diagnosis-related group.