A patient's physician is considering the addition of efavirenz to the patient's drug regimen for the treatment of his recently-diagnosed HIV
Which of the following aspects of the patient's medical history should prompt the nurse to question the use of this drug?
A) The patient has a diagnosis of type 2 diabetes and did not consistently monitor his blood glucose levels prior to his diagnosis with HIV.
B) The patient experienced an adverse reaction to an influenza immunization several years ago.
C) The patient's body mass index at the time of diagnosis was 27 (overweight).
D) The patient has hepatitis C and a history of heavy alcohol use.
D
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A patient with gallstones has been prescribed ursodeoxycholic acid (UDCA). The nurse understands that additional teaching is needed regarding this medication when the patient states:
A) "It is important that I see my physician for scheduled follow-up appointments while taking this medication." B) "I will take this medication for 2 weeks and then gradually stop taking it." C) "If I lose weight, the dose of the medication may need to be changed." D) "This medication will help dissolve small gallstones made of cholesterol."
The nurse is reviewing the discharge instructions for administration of insulin with a 78-year-old client. In order to adjust to the normal changes experienced with aging, the nurse incorporates which activity into the teaching plan?
1. Using tools that repeat the information until the information is understood 2. Giving written materials to compensate for short-term memory losses 3. Providing instruction to relatives so that the client will not need to learn everything 4. Considering holding sessions for longer periods than usual so the client can learn
If you note formation of a Stage I pressure ulcer, you should
A. massage the area. B. apply heat to the area. C. notify the nurse. D. apply cold to the area.
How should the nurse explain the mechanism that causes the skin to become reddened from prolonged exposure to cold?
a) reflex vasodilation occurs following the initial vasoconstricting effects of the cold b) cold causes a numbing sensation, which interferes with circulation at the site c) debris from necrotic tissue collects at the site of vasoconstriction, causing inflammation d) intradermal tissue blisters occur as the result of the damage caused by exposure to cold