When the patient complains, "If this viral infection I have right now can't be helped by antibiotics, why am I taking this expensive acyclovir?" The nurse's best response is, "Acyclovir is:
a. an antiviral drug that kills viruses."
b. given to many patients with viral infec-tions."
c. an antiviral drug that prevents your infec-tion from becoming worse."
d. given to help strengthen your immune system."
C
The patient currently has a viral infection; acyclovir is an antiviral drug that will decrease the virulence of the infection if started in the early phase of the infection. The drug may not kill the virus and is not given frequently to patients with viruses. Acyclovir will not strengthen the im-mune system.
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One of the aspects of teaching patients with bronchiectasis self-care is to include their families in the teaching of postural drainage. Why is it so important for the nurse to include families in their self-care teaching?
A) Because the patient physically cannot do it himself B) To avoid having to go to a center for treatment twice a day C) Because the patient gets so tired that he cannot manage a postural drainage treatment regimen without other people to help D) To avoid exposure to people with upper respiratory infections
A nurse is caring for a patient who is orally intubated and receiving mechanical ventilation. To decrease the risk for ventilator-associated pneumonia, which action will the nurse include in the plan of care?
a. Elevate head of bed to 30 to 45 degrees. b. Suction the endotracheal tube every 2 to 4 hours. c. Limit the use of positive end-expiratory pressure. d. Give enteral feedings at no more than 10 mL/hr.
The nurse is preparing educational materials at a family planning clinic. The client who is an appropriate candidate for using emergency contraception would be one who reports which of the following?
1. Forgetting to start her pill pack yesterday 2. Unprotected intercourse during her menses 3. That a condom broke yesterday in the middle of her cycle 4. Increased dysmenorrhea since IUC insertion
The nurse recognizes which of the following client outcomes as being a result of ineffective pain management? (Select all that apply.)
1. Client expressing feelings of despair and hopelessness 2. Inability to self-ambulate distance from bed to bathroom 3. Stage 1 pressure ulcer development on coccyx and left hip 4. Client rating pain as 4 on a scale of 0 to 10 30 minutes after pain medication 5. Postponement of discharge because of the inability to perform activities of daily living 6. Postponement of physical therapy because of client's inability to tolerate knee flexion