A patient has been prescribed all four first-line drugs for tuberculosis (TB). Which laboratory blood value is most important for the nurse to report to the prescriber first?
a. Red blood cells (RBCs) 2.2 million/mm3
b. International normalized ratio 1.6
c. White blood cells 6000/mm3
d. Sodium 134 mEq/L
A
All of these values are abnormal; however, only the RBC count is seriously out of the normal range. One of the most serious adverse effects of rifampin (a major part of first-line drug therapy for TB) is suppression of RBC production, leading to anemia. This patient's RBC level is only about half of normal.
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A patient with severe hemophilia begins to complain of pain. What is the most likely site of bleeding?
a. Knee b. Great toe c. Eye d. Lungs
The nurse is providing care to a terminal patient who states, "I wonder if my faith is strong enough to allow me to go to heaven." Which stage of Kubler-Ross' grieving process is the patient experiencing?
1) Stage I 2) Stage II 3) Stage III 4) Stage IV
Spirituality plays a role in the care of a patient. A nurse should be aware that spirituality consists of:
1. Individualized definitions of God. 2. Individualized concepts of how the human race began. 3. Individualized concepts of what others should believe. 4. Individualized concepts of a greater being who affects daily life. 5. Individualized concepts of eternity.
Droplet precautions will be instituted for the patient admitted to the infectious disease unit with:
a. streptococcal pharyngitis. b. herpes simplex. c. pulmonary TB. d. measles.