The client who is seropositive for human immunodeficiency virus (HIV) has been taking ritonavir (Norvir). The nurse tells the client that which follow-up laboratory study will be necessary while taking this medication?
1. Platelet count
2. Triglyceride level
3. Prothrombin time (PT)
4. International normalized ratio (INR)
2
Rationale: Ritonavir (Norvir) is an antiretroviral (protease inhibitor) used in combination with other antiretroviral medications in the management of HIV infection. It can increase triglyceride levels; therefore, the client's triglyceride levels should be monitored. The platelet count, PT, and INR are not laboratory tests that would be monitored specifically in the client on this medication.
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The leading cause of death in the acute and chronic phase of spinal cord injury is
A) renal failure. B) peripheral vascular disease. C) a respiratory complication. D) a cardiac dysthymia.
When a nulliparous woman telephones the hospital to report that she is in labor, the nurse should initially:
1. tell the woman to stay home until her membranes rupture. 2. emphasize that food and fluid intake should stop. 3. arrange for the woman to come to the hospital for labor evaluation. 4. ask the woman to describe why she believes that she is in labor.
The nurses are discussing nursing informatics and how it affects their ability to perform their jobs. Which of the following statements indicates the need for further education?
1. "I think it's great that we're all on the same page because with nursing informatics, everyone is using the same language." 2. "It helped when we wanted to implement the new ventilator-associated pneumonia-prevention guidelines because we had real client outcome data to support using the new interventions." 3. "The nurse manager was quickly able to determine that the average length of stay has decreased to 3.2 days from 3.7 days." 4. "We haven't been trained yet on the new documentation system, but we should go ahead and use it anyway."
A 45-year-old male has been diagnosed with narcolepsy, a disorder characterized by an uncontrolled tendency to fall asleep. His physician has prescribed a psychomotor stimulant. Select a correct statement about the mechanism of action of the amphetamine class of drugs.
A. Amphetamines stimulate the release of norepinephrine and dopamine from the nerve endings and prevent the reuptake of these back into the nerve endings. B. Amphetamines stimulate the release of serotonin from the nerve endings and increase the reuptake of serotonin back into the nerve endings. C. Amphetamines stimulate the release of epinephrine and acetylcholine from the nerve endings and prevent the reuptake of these back into the nerve endings. D. None of the above are correct.