The client receives interferon alfa-2b (Intron-A). The client tells the nurse that he gets very sleepy and thirsty every time he takes the medication. What is the best assessment question for the nurse to ask?
1. "Are you consuming at least eight glasses of water daily?"
2. "Are you including beverages with alcohol in your diet?"
3. "Have you had any flu symptoms lately?"
4. "How much time have you spent out in the sun?"
2
Rationale 1: There is no indication to drink eight glasses of water daily when taking immunostimulants.
Rationale 2: Combining immunostimulants with ethanol can result in excessive drowsiness and dehydration.
Rationale 3: While flu-like symptoms are common with immunostimulants, this question does not address the client complaint as well as another option.
Rationale 4: There is no indication that sun exposure would result in these symptoms in a client taking an immunostimulant.
Global Rationale: Combining immunostimulants with ethanol can result in excessive drowsiness and dehydration. There is no indication to drink eight glasses of water daily when taking immunostimulants. While flu-like symptoms are common with immunostimulants, this question does not address the client complaint as well as another option. There is no indication that sun exposure would result in these symptoms in a client taking an immunostimulant.
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The nurse explains that the birth weight of monozygotic twins is frequently below average. What is the most likely cause?
a. Inadequate space in the uterus b. Inadequate blood supply c. Inadequate maternal health d. Inadequate placental nutrition
The nurse is teaching the mother of a 4-year-old boy with a history of impaction to administer enemas at home. Which of the following responses from the mother indicates a need for further teaching?
A) "I should position him on his abdomen with his knees bent." B) "He will require 250 to 500 mL of enema solution." C) "I should wash my hands and then put on gloves." D) "He should retain the solution for 5 to 10 minutes."
The estrogen content in the contraceptive pill performs which of the following actions?
A) Decreases the permeability of cervical mucus B) Increases the level of luteinizing hormone (LH) C) Interferes with endometrial proliferation D) Suppresses follicle-stimulating hormone (FSH)
What do you need to teach T.Q. before he leaves the clinic?
What will be an ideal response?