Nokea
How should physicians interact with colleagues to lower rates of poor adherance among patients?
- A. Support colleagues who have had frustrating experiences with patients
- B. Provide feedback on communication style by reframing patient encounters
- C. Keep tabs on patients and families who have histories of noncompliance
- D. Reprimand colleagues for rash, unprofessional behavior
Correct Answer: B
Rationale: Feedback improves communication, reducing adherence issues.
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A patient with AIDS is prescribed the nucleoside reverse transcriptase inhibitor lamivudine (Epivir). What information should the nurse ensure that the patient receives about this medication? (Select all that apply.)
- A. Report any onset of bleeding.
- B. Report any yellowing of the skin.
- C. Report any change in urine output.
- D. Report any symptoms similar to having the flu.
Correct Answer: B
Rationale: Step 1: Lamivudine (Epivir) can cause hepatotoxicity, leading to yellowing of the skin (jaundice).
Step 2: Yellowing of the skin is a serious side effect that should be reported immediately to prevent further liver damage.
Step 3: Reporting yellowing of the skin promptly allows for timely evaluation and necessary interventions.
Summary: Reporting bleeding, change in urine output, or flu-like symptoms are not specific to lamivudine and are not directly related to its side effects. Yellowing of the skin is a critical side effect that requires immediate attention.
he theorist who believes that children actively construct knowledge is
- A. Jean Piaget
- B. B.F. Skinner
- C. Albert Bandura
- D. John Dewey
Correct Answer: A
Rationale: Piaget's constructivism posits that children actively build knowledge through interaction with their environment.
A patient comes to an outpatient appointment obviously intoxicated. The nurse should:
- A. explore the patient’s reasons for drinking today.
- B. arrange admission to an inpatient psychiatric unit.
- C. coordinate emergency admission to a detoxification unit.
- D. tell the patient, 'We cannot see you today because you’ve been drinking.'
Correct Answer: D
Rationale: Step-by-step rationale for Answer D (Correct):
1. Safety first: Intoxicated patients can be a safety risk to themselves and others.
2. Ethical responsibility: Providing care to an intoxicated patient may compromise the quality of care.
3. Setting boundaries: Communicating that the appointment cannot proceed due to intoxication sets a clear boundary.
4. Referral assistance: The patient can be directed to appropriate resources for help with substance abuse.
Summary of why other choices are incorrect:
A (explore reasons): Not appropriate when patient is intoxicated. B (inpatient unit): Premature without assessing the situation. C (detox unit): Immediate detox may not be necessary.
What common side effects would the nurse inform a patient of who has just been prescribed Celexa?
- A. Gastrointestinal disturbances
- B. Sexual dysfunction
- C. Thyroid function
- D. Tachycardia
Correct Answer: A
Rationale: The correct answer is A: Gastrointestinal disturbances. Celexa (citalopram) is known to commonly cause gastrointestinal side effects such as nausea, diarrhea, and indigestion. This is important for the nurse to inform the patient about to manage expectations and potential discomfort. Choices B, C, and D are incorrect because sexual dysfunction, thyroid function, and tachycardia are not common side effects associated with Celexa. Overall, it is crucial for the nurse to educate the patient on the most common side effects to ensure proper monitoring and management.
What is important to consider when evaluating the dose of lithium to be administered?
- A. Narrow therapeutic index - too little will not produce effects
- B. while too much can cause toxicity
- C. Divalproex (Depakote)
- D. Tachycardia
Correct Answer: A
Rationale: The correct answer is A because lithium has a narrow therapeutic index, meaning the difference between a therapeutic dose and a toxic dose is small. Therefore, it is crucial to carefully consider the dose to avoid subtherapeutic effects or toxicity. Option B is incorrect because it only focuses on the toxicity aspect of lithium, ignoring the importance of therapeutic effects. Option C, Divalproex, is irrelevant to the dosing of lithium. Option D, Tachycardia, is also irrelevant to lithium dosing considerations. It is essential to prioritize the therapeutic index when evaluating the dose of lithium for safe and effective treatment.