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Abdominal pain with accompanying rebound tendernessANS: AOne of the key features of liver trauma is abdominal pain that is increased on deep breathing and isreferred to the right shoulder.
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The health careprovider orders a 40 mEq potassium bolus and an increase in the IV flow rate.
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ANS: BDuring painful, acute episodes of stomatitis, gentle mouth care using a gauze sponge dipped inwarm normal saline or normal saline plus sodium bicarbonate is most appropriate.
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Set a timer on your phone to make sure you don't forget to take stavudine at the right time.
Remember that your shoulder joint consists of the articulation between your collar bone, scapula, and upper bone.
The recombinant human growth hormone Serostim is a daily injectable drug approved by the FDA for HIV associated wasting.
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These protocols arestanding prescriptions from the provider that identify the appropriate medication, dose, andsituation for administration.
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The nurse should not administer pain medication at this time.
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Which client doesthe nurse assess first?
Drugs for HIV infection Treat Guidel Med Lett.
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Which syringe does the nurse use todraw up and administer the heparin?
It is unclear whether it is caused by the direct effects of the virus on the brain or by intermediate causes.
As in the adult controlled trials, most lamivudine-treated subjects had decreases in HBV DNA below the assay limit early in treatment, but about one third of subjects with this initial response had reappearance of assay-detectable HBV DNA during treatment.
The nurse assesses a client who suffered chest trauma and finds that the left chest sucks induring inhalation and out during exhalation.
Tapentadol extendedrelease for treatment of chronic pain: a review. J Pain Res.
Because the source person usually will not have appeared to be ill during contact, the newly presenting symptomatic patient will not recognize the possibility of having acquired HIV infection.
Take the clients blood pressure in both arms.
This client is atrisk for carbon monoxide poisoning because he or she was in a fire in an enclosed space.
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Client Needs Category: Physiological Integrity (Physiological AdaptationPathophysiology)MSC: Integrated Process: Nursing Process (Assessment)21.
Therefore, it is recommended, following correction of dose for creatinine clearance, that no additional dose modification be made after routine hemodialysis or peritoneal dialysis.
Anorexia: Loss of appetite; weight loss related to loss of appetite.
Clients begin to cough after taking deepbreaths.
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Which nursing intervention is a priority when administering this medication?
Among 4690 reports of fatal acute liver failure due to medications reported to a WHO data, 80 were attributed to lamivudine which ranked 6th, even though the lamivudine was probably being given for the acute liver failure rather than causing it).
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Assessing bilateral bloodpressures will not provide useful information.
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Which conditionin the clients history causes the nurse to contact the provider before the test takes place?
Advise patient to minimize GI upset by eating small, frequent servings of healthy food and drinking plenty of fluids.
However, many experts assert that addiction is unlikely when narcotics are used to treat pain.
These effects include sweating, somnolence, dizziness, mild nausea, anorexia, constipation, and pruritus.
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Ice should be placed onbruised areas instead of heat, and aspirin should not be used by those with a low platelet count.
Help the client lie flat in bed, on the right side.
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Treatmentincludes a pericardiocentesis, or withdrawing the fluid with a needle or catheter.
HIV, but many more questions remain.
Avoid using multidose vials in neonates, infants, and pregnant and breastfeeding patients because of benzyl alcohol content, which has been associated with serious adverse events and death, including "gasping syndrome.
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ANS: BThe circulating nurse should not leave the operating room to pick up fresh-frozen plasma andshould delegate the job to unlicensed personnel instead.
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ATOP: Client Needs Category: Psychosocial Integrity (End-of-Life Care)MSC: Integrated Process: Caring3.
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The nurse is caring for an older adult client with a history of chronic lung disease who will beundergoing surgery the following day.
ANS: DA change in the nature and timing of abdominal pain in a client with a bowel obstruction can signalperitonitis or perforation.
Internists have a variety of options available to them due to the nature of their work.
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Because the nurse is assessing the clients response to a terminal diagnosis, it is notnecessary to have detailed information about the projected prognosis; the nurse knows that theclient is facing an end-of-life illness.
When someone becomes immunocompromised for any reason (HIV infection, cancer, or treatment with immunosuppressive drugs, such as certain kinds of chemotherapy), some of these organisms take advantage of the "opportunity" by growing out of control and causing disease.
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In one large study, more than one half of HIV-infected adults under treatment were found to be infected with strains of virus resistant to one or more antiretroviral drugs, and strains of HIV that are resistant to all available protease inhibitors have appeared.
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The nurse is preparing a teaching plan for a client who is scheduled to undergo mammographyfor the first time.
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