An immunocompromised child is exposed to chickenpox and the provider orders valacyclovir [Valtrex] to be given orally three times daily. The nurse will contact the provider to change this order for which reason?
a. Valacyclovir is not used as varicella prophylaxis.
b. The dosage is too high for this indication.
c. The drug may cause serious adverse ef-fects in immunocompromised patients.
d. Valacyclovir is not approved for use in children.
C
Valacyclovir is approved for use for varicella in immunocompetent children. In immunocom-promised patients, it has produced a syndrome known as thrombotic thrombocytopenic purpu-ra/hemolytic uremia syndrome (TTP/HUS). The dosage is fine for immunocompetent children.
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During the focused interview, the client makes the following statements. Which of the following statements indicates that the client has an increased risk of developing cardiovascular disease?
1. "I was diagnosed with hypothyroidism about 5 years ago.". 2. "My doctor always tells me when I come in that my blood pressure is low.". 3. "I know my grandmother had diabetes, but every time it has been checked mine has been normal.". 4. "My total cholesterol has always been around 170.".
A client is seen in the emergency room of a suburban hospital for a broken leg. He called his physician on the weekend to find out what he should do after his injury. The doctor directed him to the emergency room
where an orthopedic surgeon was consulted and performed surgery to place a pin in the leg. What kind of care was provided to this patient when care was transferred from the emergency-room physician to the orthopedic surgeon? A) Primary care B) Tertiary care C) Secondary care D) Quarternary care
Which of the following learners enjoy learning that takes place in the clinical setting?
A) Sequential thinkers B) Grade-oriented students C) Learning-oriented students D) Active experimenters
A doctor orders a medical procedure that the staff nurse has reason to believe will harm the patient. Which statement accurately states the legal consequences of carrying out, or refusing to carry out, the procedure?
A) The staff nurse cannot be held legally liable for any harm to the patient if the procedure is carried out with due care B) The nurse may lose his or her license by refusing to carry out the procedure C) The nurse can be held legally liable for any harm if the procedure is carried out without question D) The nurse can be held accountable for practicing medicine without a license