A patient with AIDS is prescribed the nucleoside reverse transcriptase inhibitor lamivudine (Epivir). What information should the nurse ensure that the patient receives about this medication? (Select all that apply.)
a. Report any onset of bleeding.
b. Report any yellowing of the skin.
c. Report any change in urine output.
d. Report any symptoms similar to having the flu.
e. Report any numbness or tingling of the hands or feet.
ANS: B, C, D, E
When taking this medication, the patient should monitor and report any skin yellowing which could indicate jaundice or liver failure, changes in urine output which could indicate kidney failure, flu-like symptoms which would be life-threatening when taking this medication, and numbness or tingling of the hands or feet which could indicate the onset of peripheral neuropathy. A. Bleeding is not an adverse reaction to this medication.
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The nurse is providing discharge instructions to a client being treated for cancer. For which symptoms should the client be instructed to call for help at home?
Select all that apply. A) Difficulty breathing B) Significant increase in vomiting C) Desire to end life D) Improved sense of well-being E) New onset of bleeding
The nurse develops a plan of care for an 88-year-old new resident of a care facility who arrived from the hospital after a cardiac event brought on by heat stroke. The resident was diagnosed with pneumonia this morning
Which of the following would be the most likely explanation for the pneumonia? A) Cardiac events often precede respiratory infections. B) Pneumonia is directly related to the heat stroke. C) Flu season and an increase in the number of cases. D) Elderly predisposition to nosocomial pneumonia.
The belief that health is "a state of harmony with nature and the universe" is common in which culture?
a. Japanese b. African-American c. Native American d. Hispanic-American
A client has an arteriovenous fistula in place for hemodialysis. What should the nurse do to assess the patency of the fistula?
A. Irrigate the fistula with 3 mL of normal saline solution B. Infuse 50 mL of normal saline once per 24 hours C. Palpate for a vibrating sensation at the fistula site D. Flush the fistula with 1 mL of heparin solution once per shift