Nokea
A client is diagnosed with HIV. Which of the following are antiviral drug classes used in the treatment of HIV/AIDS?
- A. nucleoside reverse transcriptase inhibitors
- B. protease inhibitors
- C. HIV fusion inhibitors
- D. all of the above.
Correct Answer: D
Rationale: All of the choices are anti-HIV drugs.
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Which of the following represents a normal serum potassium level?
- A. 1.5 mEq/L
- B. 3.0 mEq/L
- C. 4.0 mEq/L
- D. 6.0 mEq/L
Correct Answer: C
Rationale: Normal serum potassium levels fall in a range of 3.5-5.5 mEq/L. The other choices listed fall below or above this range.
All of the following should be performed when fetal heart monitoring indicates fetal distress except:
- A. increase maternal fluids.
- B. administer oxygen.
- C. decrease maternal fluids.
- D. turn the mother.
Correct Answer: C
Rationale: Decreasing maternal fluids is the only intervention that should not be performed when fetal distress is indicated.
Which of the following statements by an adult child of a client with late-stage Alzheimer's disease indicates a need for further teaching by the nurse?
- A. I should provide a regular schedule for toileting
- B. I should talk to my father less because he can't communicate
- C. I should give my father oral care after every meal and bedtime
- D. I should assist my father with eating and drinking
Correct Answer: B
Rationale: Communication through talking and touching remains important for Alzheimer's clients, even if they can't respond, to provide comfort and connection. The other statements reflect appropriate care.
Which enzyme is elevated in conditions of pancreatic inflammation, such as pancreatitis?
- A. Alkaline phosphatase
- B. Acid phosphatase
- C. Creatine phosphokinase
- D. Amylase
Correct Answer: D
Rationale: Amylase is elevated in conditions of pancreatic inflammation, such as pancreatitis. The other enzymes are associated with other types of tissue damage.
The nurse is preparing to administer IV Vancomycin to a client. Which of the following nursing actions should be taken first?
- A. performing a physical assessment prior to administration
- B. obtaining the most recent lab values regarding renal function
- C. reviewing peaks and troughs for the past few days
- D. ensuring the client is not allergic to the medication
Correct Answer: D
Rationale: Even before the physical assessment (which might or might not be indicated at the time of administration of Vancomycin), ensuring that the client is not allergic to the medication is the most critical action the nurse must take before administering any drug. Lab values regarding renal functioning and therapeutic ranges via peaks and troughs are also important with some medications such as Vancomycin because renal damage can occur if blood drug levels remain high over time.