A patient with HIV-1 is curious as to why gabapentin is included in their medication regimen, despite not having a history of seizures. What would be the most appropriate response from the nurse?

You are at risk for seizures due to fungal infections.

I have no idea why you would be taking this drug.

Gabapentin can also function as an antidepressant.

This medication aids in alleviating pain from nerve irritation.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
It is not accurate to state that the patient is at risk for seizures due to fungal infections. While fungal infections can occur in individuals with HIV-1, they are not a primary cause of seizures in this population.
Linking fungal infections directly to seizure risk without clear evidence could cause unnecessary anxiety in the patient. It's important to provide accurate and relevant information to patients.
Choice B rationale:
Responding with "I have no idea why you would be taking this drug" is unprofessional and unhelpful.
Nurses are expected to have a basic understanding of the medications their patients are taking and to be able to provide education and support.
It's essential to demonstrate knowledge and confidence when interacting with patients.
Choice C rationale:
While gabapentin can have mood-elevating effects in some individuals, it is not primarily used as an antidepressant. Mentioning this potential side effect without clarifying the primary purpose of the medication could mislead the patient. It's crucial to prioritize the main indication for the medication to avoid confusion.
Choice D rationale:
This is the most appropriate response because it accurately explains the primary reason for prescribing gabapentin to this patient.
Gabapentin is commonly used to treat neuropathic pain, which is pain caused by nerve damage.
HIV-1 can often lead to neuropathic pain, making gabapentin a valuable treatment option in this population.
Providing clear and accurate information about medication purpose builds trust and understanding between the nurse and the patient.

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Correct Answer is A

Explanation

Choice A rationale:
Anaphylaxis risk: A history of allergy to bee and wasp stings indicates a potential risk for anaphylaxis, a severe and life- threatening allergic reaction. This information is crucial for the surgical team to be aware of, as it can influence their choice of anesthesia, medications, and other interventions during the surgery. They will need to be prepared to manage any potential allergic reactions promptly and effectively.
Cross-reactivity potential: Allergies to insect stings can sometimes cross-react with other substances, such as medications used during surgery (e.g., antibiotics, muscle relaxants, latex). It's essential for the surgical team to be aware of these potential cross-reactions to take necessary precautions and avoid triggering an allergic reaction.
Preoperative planning: Knowing about the patient's allergy to bee and wasp stings allows the surgical team to make informed decisions regarding:
Premedication: The patient may need to receive antihistamines or corticosteroids before surgery to reduce the risk of an allergic reaction.
Monitoring: The patient's vital signs and symptoms will be closely monitored during and after surgery for any signs of an allergic reaction.
Emergency preparedness: The surgical team will have medications and equipment readily available to treat anaphylaxis if it occurs.
Choice B rationale:
Lactose intolerance is not typically a significant concern during surgery. It's a digestive issue that can cause discomfort after consuming dairy products, but it doesn't typically pose immediate risks during surgical procedures. The surgical team may adjust the patient's diet after surgery to accommodate lactose intolerance, but it's not crucial information for the immediate surgical planning.
Choice C rationale:
Herb and supplement use is important to communicate to the surgical team. Some herbs and supplements can interact with medications used during surgery, increasing the risk of bleeding, heart problems, or other complications. However, it's not as immediately critical as an allergy to bee and wasp stings, which carries a risk of life-threatening anaphylaxis.
Choice D rationale:
While a patient's previous experience with surgery can be helpful for the surgical team to understand their anxiety levels and expectations, it's not as critical as information about allergies or potential medication interactions.

A. Planning my activities will help prevent fatigue. B. Rest time will have to become a priority. C. I can continue to sunbathe. D. I will avoid direct sunlight as much as possible.

Correct Answer is C

Explanation

Choice A rationale:
Planning activities to prevent fatigue is a valid self-care strategy for SLE patients. Fatigue is a common symptom of SLE, and it can be exacerbated by overexertion. By planning activities and pacing themselves, patients can help to manage their fatigue and conserve energy.
Fatigue management strategies include:
Prioritizing tasks and delegating when possible.
Breaking down large tasks into smaller, more manageable ones. Taking frequent rest breaks throughout the day.
Maintaining a regular sleep schedule. Engaging in moderate exercise, as tolerated.
Avoiding caffeine and alcohol, which can interfere with sleep.
Addressing any underlying health conditions that may be contributing to fatigue, such as anemia or depression.
Choice B rationale:
Prioritizing rest is another essential self-care strategy for SLE patients. Rest allows the body to conserve energy and repair itself. Patients with SLE may need more rest than healthy individuals, especially during flares.
Resting strategies include:
Getting enough sleep at night. Napping during the day, as needed.
Taking breaks from activities throughout the day.
Practicing relaxation techniques, such as deep breathing or meditation.
Choice C rationale:
Sunbathing is not recommended for SLE patients, as it can trigger flares. Ultraviolet (UV) radiation from the sun can damage skin cells and exacerbate inflammation in SLE patients. This can lead to a flare-up of symptoms, such as skin rash, joint pain, and fatigue.
Sun protection strategies include:
Avoiding direct sunlight, especially during the middle of the day when UV rays are strongest. Wearing protective clothing, such as long-sleeved shirts, pants, and wide-brimmed hats.
Using sunscreen with an SPF of 30 or higher on a daily basis.
Applying sunscreen liberally and reapplying it every two hours, or more often if sweating or swimming.
Choice D rationale:
Avoiding direct sunlight is a correct self-care strategy for SLE patients.

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A patient with HIV-1 is curious as to why gabapentin is included in their medication regimen, despite not having a history of seizures. What would be the most appropriate response from the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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