The patient is a 22 year old female who is 16 weeks pregnant and is scheduled to begin antiviral treatment for HIV. An appropriate antiviral medication for this patient would be:
a. delvirdine
b. efavirenz
c. rilipivirine
d. nevirapine
The correct option is d) nevirapine . Nevirapine prevents the vertical transmission of HIV .
The patient is a 22 year old female who is 16 weeks pregnant and is scheduled...
A 27 year old pregnant woman is admitted to the hospital at 28 weeks gestation with a diagnosis of pregnancy-induced hypertension (160/100) and is started on an IV magnesium sulfate drip. When assessing the deep tendon reflexes (DTRs) of the woman you notice that the reflexes are 4+ with some clonus. She is becoming agitated. What does this finding indicate to you about the dose of Magnesium Sulfate? Describe the significant parameters you would assess when the patient is on...
A 33 year old female client who is recovering from thyroid storm has been started on methimazole prior to discharge. Which statement by the client indicates that additional teaching is needed? A: I will attend a concert at the stadium in 2 weeks B: I will take my medication at the same time each day C: I will check for heat intolerance D: I will monitor my weight closely the answer is NOT B because if the patient chose B...
6. You have a 16 year old pregnant patient who is anemic and needs to be started on iron supplementation. She asks you why she needs to take the iron. What do you need to tell her about iron and how the body uses iron to make RBCs?What other teaching is necessary regarding oral iron supplementation? (Consider drug-drug, drug-food interactions, tolerance, side effects, adverse effects, diet restrictions, etc.)
Which of the following patients who are scheduled to receive an antineoplastic medication that causes cumulative toxicities is most vulnerable to the effects of the medication? a 18-year-old female with asthma b 70-year-old male with renal insufficiency c 35-year-old female with diabetes d 45-year-old male with seasonal allergies
CASE STUDY A 45-year-old female patient with breast cancer is scheduled to have a venous access device implanted that will allow chemotherapy drugs to be administered without continual venipuncture. The procedure will be performed under local anesthesia with monitored anesthesia care. These are the medications listed on the surgeon's preference card: a. Xylocaine 1% plain in a 10-cc vial b. Heparin sodium 5000 units per mL-3 mL C. Heparin sodium 5000 units in 500 mL normal saline for injection d....
You are getting ready to administer scheduled medications to Mrs. Smith, an 86-year-old female patient with a history of heart failure and angina. You have identified Mrs. Smith as the right patient and have checked the medication labels three times. As you explain to Mrs. Smith the medications you are planning to administer, she looks at them and states: “None of those pills look like mine! I’m not taking them until I talk to my doctor!” What interventions can the...
A 45-year-old female patient with breast cancer is scheduled to have a venous access device implanted that will allow chemotherapy drugs to be administered without continual venipuncture. This procedure will be performed under local anesthesia with monitored anesthesia care. These are the medications listed on the surgeon’s preference card: Xylocaine 1% plain in a 10-cc vial Heparin sodium 5,000 units per mL—3 mL Heparin sodium 5,000 units in 500 mL normal saline for injection Normal saline for irrigation—500 mL Which...
Harmony, a 33 year- old G1 P0 comes into see the nurse. Harmony is 29 weeks pregnant and she had only one previous prenatal visit at 18 weeks. She has declined vaccines and most blood work, so her rubella status, blood type, HIV status are unknown Harmony has failed to keep previous appointments which were scheduled at 22 weeks and 26 weeks. Harmony states that she has not been taking iron preparations nor her folic acid supplement as prescribed. She...
This is an 81-year-old female who had a CVA 3 weeks ago. She is here for a speech assessment. ASSESSMENT: Patient underwent testing for receptive/expressive language function. Levels were evaluated. She is showing vast improvement from our last testing, done 12 days ago. Formal report to follow. Total time with this patient was 60 minutes. What is the ICD-10-PCS Code?
Needing 3 diagnosis for a patient on an antepartum unit who is 31 weeks pregnant. Admitted for Funneling of cervix. This is the patient's second preterm. GTPAL is 2/0/2/0/0. Patient is put on bedrest. Patient also stated to weigh 135 lbs and gained ~13 lbs thus far of pregnancy. Patient also has a immediate family member in hospice care. Patient has no medical history. Has had a previous delivery at 21 weeks, demise. What are 3 nursing diagnosis that would...