The nurse is discussing weight loss and wasting with a local group of cancer clients. After the program, a member of the audience asks to speak with the nurse
He asks what the difference is between weight loss and wasting in cancer and the weight loss and wasting that occurs in AIDS. What would be the best response? A) In cancer wasting, the client can take medication to stimulate the appetite.
B) Cancer wasting is almost impossible to reverse.
C) Wasting in AIDS includes either fever, diarrhea, or weakness lasting more than 30 days.
D) AIDS wasting begins gender specific
C
Feedback:
HIV-related wasting syndrome is defined as unintentional weight loss more than 10% of baseline weight plus either diarrhea or chronic weakness and fever for more than 30 days without a known cause.
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A patient who is receiving intravenous ciprofloxacin for pneumonia develops diarrhea. A stool culture is positive for Clostridium difficile. The nurse will expect the provider to:
a. add metronidazole [Flagyl]. b. increase the dose of ciprofloxacin. c. restrict dairy products. d. switch to gemifloxacin.
Mrs. Alioto expresses concern about the impact that her hospitalization is having on her son, who must travel a long way each night after work to come to see her. Which response from the nurse is the best example of therapeutic communication?
A) "I'm sure your son wouldn't take on more of a burden than he can handle." B) "Why are you worrying about your son?" C) "What is it about your son's situation that concerns you the most?" D) "Are you afraid he'll fall asleep at the wheel and have an accident?"
A client with a UTI is ordered to receive trimethoprim-sulfamethoxazole, also known as co-trimoxazole (Bactrim, Septra). The nurse is aware that Bactrim is a combination of two drugs. What is the purpose of this combination?
a. It decreases the response against disease-producing organisms. b. The two drugs have an antagonistic drug effect. c. Trimethoprim prevents bacterial resistance to sulfamethoxazole. d. It prevents toxic drug effects.
Asian patients prescribed psychiatric medications:
a. exhibit better response to antidepressants and phenothiazine than do African-American patients. b. have less tendency to abuse alcohol with their medications than do white patients. c. have extrapyramidal side effects at lower dosage levels than do other ethnic groups. d. experience fewer side effects when taking anticholinergic medications than do white patients taking the same dosage.