Nokea
The nurse is educating a client who has been prescribed acyclovir for newly diagnosed shingles. Which information would be the most important for the nurse to include?
- A. Take this medication 30 minutes before meals
- B. Continue taking this medication until the rash resolves
- C. If a dose is missed, take it with the next scheduled dose
- D. Increase fluid intake while taking this medication
Correct Answer: D
Rationale: Increasing fluid intake helps prevent nephrotoxicity, a potential side effect of acyclovir, which can affect kidney function, especially in patients with shingles who may be dehydrated.
You may also like to solve these questions
The nurse is planning a community health course about the prevention of Lyme disease. Which of the following information should the nurse include?
- A. You should try limiting your outdoor activities between 10 a.m. and 4 p.m.
- B. Wear sunglasses that wrap around and block UVA and UVB rays.
- C. Wear long-sleeved clothing when in heavily wooded areas.
- D. Apply sunscreen with at least an SPF of 30.
Correct Answer: C
Rationale: Wearing long-sleeved clothing in wooded areas reduces skin exposure to ticks, which transmit Lyme disease.
The nurse is talking to a group of women about the dangers and ways of acquiring toxic shock syndrome (TSS). The nurse would mention that all of the following women have a high risk of acquiring TSS, except for:
- A. A teenage girl using an absorbent tampon.
- B. A 29-year-old woman using a cervical cap.
- C. A 31-year-old woman using a diaphragm.
- D. A 35-year-old woman using oral contraceptives.
Correct Answer: D
Rationale: Oral contraceptives do not increase the risk of TSS, unlike tampons, cervical caps, and diaphragms, which can promote bacterial growth if left in place too long.
A client is upset because they just found out that they have syphilis. The client tells the nurse, 'This is so upsetting! Does everyone need to know?' Which of the following responses, if made by the nurse, is the most therapeutic?
- A. We need to report this diagnosis to the local public health department, and they will contact your past partners.
- B. According to the Health Insurance Portability and Accountability Act (HIPAA), I can't tell anyone without your permission.
- C. You really should contact your sexual partners so they can be treated too.
- D. I understand you're upset. I'll stay here with you so that you can talk about it.
Correct Answer: A
Rationale: Reporting syphilis to the public health department is required for contact tracing, and this response addresses the client's concern while explaining the process.
The following scenario applies to the next 1 items
The nurse is caring for a client with human immunodeficiency virus (HIV)
Item 1 of 1
Nurses Note
Medications
23-year-old client following up after initiating antiretrovirals for newly diagnosed HIV infection. The client reports nausea and vomiting if he does not take the medication with meals. He recently joined a support group to help with his coping. His laboratory results are pending. The client reports full adherence to the prescribed medication-reinforced education on the medication, dosing, and side effects
The client should be taught that the overall treatment goal for HIV is to
- A. increase the CD4/CD8 count
- B. raise the level of folic acid
- C. increase production of hemoglobin
- D. lower the viral load (VL)
Correct Answer: A,D
Rationale: The primary goals of HIV treatment are to increase CD4 counts (improving immune function) and lower the viral load to undetectable levels to prevent disease progression.
The nurse teaches individuals about the human immunodeficiency virus (HIV) at a health fair. It would be correct for the nurse to state which of the following would indicate the need for HIV testing? Select all that apply.
- A. Pregnancy
- B. Engaged in sex work
- C. Have a sexually transmitted infection
- D. The use of injection drugs
- E. Men who have sex with men (MSM)
Correct Answer: A,B,C,D,E
Rationale: Pregnancy, sex work, STIs, injection drug use, and MSM are all risk factors warranting HIV testing to ensure early detection and treatment.