A patient who is taking antiretroviral medication to control human immunodeficiency virus (HIV) infection tells the nurse about feeling mild depression and anxiety
Which additional information about the patient is most important to communicate to the health care provider?
a. The patient's blood pressure is 152/88 mm Hg.
b. The patient uses over-the-counter St. John's wort.
c. The patient recently experienced the death of a close friend.
d. The patient expresses anxiety about whether the drugs are effective.
ANS: B
St. John's wort interferes with metabolism of medications that use the cytochrome P450 enzyme system, including many HIV medications. The health care provider will need to check for toxicity caused by the drug interactions. Teaching is needed about drug interactions. The other information will also be reported but does not have immediate serious implications for the patient's health.
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______________ is characterized by periods of unexplained irritability and crying in a healthy, well-fed infant
ANS:
During a jury trial, the presence of a nurse-patient relationship is questioned. What kind of question is this and who would determine it?
1. Law to be determined by the judge 2. Fact to be determined by the judge 3. Law to be determined by the jury 4. Fact to be determined by the jury
An effectively written letter to an elected official regarding a health care issue that affects nursing can provide a voice in the political process. One of the key elements of an effectively written letter involves the background of the issue
What other key rule should the letter follow that lets the elected official know what the nurse would like him or her to do? A) Be specific about the desired action on the part of the elected official. B) Be detailed and lengthy when presenting key information. C) Limit each letter or e-mail message to two pages, if possible. D) Focus on at least two issues for each letter.
The nursing assistive personnel (NAP) reports that the patient is dizzy during a warm sitz bath. Which action should the nurse take before moving the patient?
a. Check the patient's pulse rate. b. Dry off the patient completely. c. Ask the patient if he or she is able to am-bulate. d. State that dizziness is common.