A patient taking highly active antiretroviral therapy (HAART) for a year has the following blood laboratory test values. Which value does the nurse report to the prescriber immediately?
a. White blood cell count 3500 cells/mm3
b. Lactate dehydrogenase 990 IU/L
c. Sodium 132 mEq/L
d. Hematocrit 32%
B
All of these blood values are abnormal; however, only the lactate dehydrogenase level is very high (four times normal). This value indicates liver impairment. Nearly all antiretroviral drugs can cause liver impairment. This value must be reported immediately so that liver function can be explored and any needed changes in drug therapy made before irreversible liver damage occurs.
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Perform the indicated operation and record the result in lowercase Roman numerals
7 × 2 = _____
The nurse is providing care for a patient who has experienced a type I hypersensitivity reaction. What condition is an example of such a reaction?
A) Anaphylactic reaction after a bee sting B) Skin reaction resulting from adhesive tape C) Myasthenia gravis D) Rheumatoid arthritis
A hospice nurse is caring for a client who is dying. The client has been prescribed morphine for pain control. The client recently had the dosage increased to adequately control the pain
The client asks the nurse, "Am I addicted to this now?" What is the best response by the nurse? A) "Needing to increase your dose does not mean you are addicted. Sometimes our bodies become adjusted to the dose of the medication and so we need to increase the dose to get the same effect." B) "You don't need to be worried about being addicted." C) "People who take morphine for cancer pain can't become addicted." D) "Being addicted to morphine is the least of your worries right now."
What are the signs of leukopenia that a nurse needs to monitor for when caring for a client taking medications that depress the hematopoietic system?
A) Unusual or easy bleeding C) Dark, tarry stools B) Oozing from injection sites D) Fever and sore throat