The nurse caring for a patient with HIV infection who is taking Retrovir, a nucleoside antiviral that is a reverse transcriptase inhibitor, should be especially observant for symptoms of:
1. decreased urine output.
2. hypertensive episodes.
3. jaundice.
4. edema of the face.
3
Retrovir has the potential of causing a fatal hepatoxic reaction. Jaundice is a possible sign of hepatic impairment.
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The nurse caring for a fussy newborn uses which of the following interventions to calm the baby and reduce sensory overload?
a. Rubbing the baby's back b. Singing and rocking the baby c. Hanging a black and white mobile d. Swaddling the baby tightly
A novice nurse asks the preceptor why the staff spends time talking about the clients between shifts when the oncoming nurses can read the charts instead. Which is the best response by the preceptor?
A) "Maybe we should suggest primary nursing." B) "Change-of-shift report ensures that the oncoming staff knows the most critical information about the client requiring care." C) "It has always been done this way." D) "You are right. It is a waste of time."
A 4-year-old child's respiratory rate is 30 per minute. The mother states, "That seems like a really high number. My healthcare provider told me my respiratory rate is only 16 per minute."
Which of the following is the nurse's best response? 1. "This is a normal finding for your child's age.". 2. "Your child is exhibiting a sign of a respiratory infection.". 3. "Your child requires further assessment.". 4. "Your child may simply be anxious.".
A nurse with a Bachelor of Science in Nursing (BSN) is prepared to do which of the following? (Choose all that apply.)
a. Appraise and summarize research findings b. Assist with the implementation of evidence-based guidelines c. Conduct independent nursing studies d. Expand the body of nursing knowledge through independent research