Which adverse effects should the nurse monitor for in a client receiving acyclovir (Zovirax)?
A. Auditory and visual hallucinations
B. Increased serum creatinine
C. Respiratory distress
D. Thrombocytopenia
Answer: B
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Immediately after a spinal cord injury, a patient is started on high-dose IV methylprednisolone. What nursing assessment indicates a serious undesirable effect of this drug?
A) Slightly elevated white blood cells B) Low-grade temperature elevation C) Gastric aspirate positive for guaiac D) Increased pain below lesion
A woman who is dying of heart failure has become listless, distracted, and difficult to engage in conversation in recent days despite no obvious changes in her physiologic state
She has admitted to feeling severely depressed and states that this sensation is something new to her. How should her care team best interpret this new onset of depression? A) The patient should be encouraged to accept her depression and see it as a reasonable response to impending death. B) The care team should acknowledge the patient's depression but ensure that physical needs are prioritized over emotional symptoms. C) The team should understand that depression is a normal stage of the grieving process that precedes death and should be accepted as such. D) The patient's depression should be actively treated and not seen as an inevitability.
Perianal disease occurring in the early stages of Crohn's disease typically progresses to
a. rectal prolapse. c. prostatic infections. b. anal stricture. d. prostate cancer.
Which type of seizure has a sudden loss of muscle tone for a few seconds followed by confusion?
a. Partial seizures b. Atonic seizures c. Myoclonic seizures d. Tonic-clonic seizures