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Which of the following may be the most effective approach to ensure good communication with a large family of a hospitalized patient?
- A. Ask the family to choose an individual to be the point of contact with the health care team
- B. Appoint the person who spends the most time at the patient's bedside to be the point of contact with the health care team
- C. Listen to each family member's individual concerns
- D. Arrange a daily meeting with the entire family to discuss the patient's health care
Correct Answer: A
Rationale: A single point of contact streamlines communication while respecting family involvement.
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The lack of necessary supplies and equipment to adequately and safely care for patients is an example of a (n):
- A. Sentinel event.
- B. System variance.
- C. Adverse effect.
- D. Provider variance.
Correct Answer: B
Rationale: System variances involve deficiencies in resources or processes.
And Ivan Pavlov are pioneers of psychology
- A. Sigmund Freud
- B. Jean Piaget
- C. B.F. Skinner
- D. Both A and C
Correct Answer: C
Rationale: Skinner and Pavlov pioneered behavioral psychology.
A patient asks, 'What is the main purpose of these medications I take for my HIV?' Which response should the nurse make?
- A. They encapsulate the virus-infected cells.'
- B. They mark the virus for natural killer cells to destroy.'
- C. They attract macrophages to the cells making the virus.'
- D. They inhibit enzymes to interfere with viral production.'
Correct Answer: D
Rationale: The correct answer is D because antiretroviral medications used for HIV treatment work by inhibiting enzymes essential for viral replication, thus interfering with viral production. This prevents the virus from multiplying and spreading in the body. Option A is incorrect as medications do not encapsulate virus-infected cells. Option B is incorrect as the medications do not mark the virus for natural killer cells. Option C is incorrect as medications do not attract macrophages to the cells.
A patient with generalized anxiety disorder (GAD) is prescribed BuSpar. What is important to inform the patient before discharge?
- A. This medication may take several weeks to take effect
- B. Alternative medications
- C. Severe headache
- D. Urinary retention
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. BuSpar is an anxiolytic medication that may take weeks to reach full effectiveness.
2. Patient education is crucial to manage expectations and ensure compliance.
3. Informing the patient about the delayed onset helps prevent premature discontinuation.
Summary:
B: Alternative medications - Not relevant to informing the patient before discharge.
C: Severe headache - Not a common side effect of BuSpar.
D: Urinary retention - Not a common side effect of BuSpar.
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.