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When administering zidovudine to a patient with human immunodeficiency virus (HIV), which action should be the first priority for the nurse?

Measuring the patient's height.

Monitoring the patient's weight gain.

Reviewing the patient's complete blood count.

Reviewing the patient's chemistry profile.

Answer and Explanation

The Correct Answer is C

Reviewing the patient's complete blood count.

Choice A rationale:

Measuring height is not a priority when administering zidovudine.

Choice B rationale:

Monitoring weight gain is important but not the first priority.

Choice C rationale:

Reviewing the complete blood count is crucial before administering zidovudine, as this medication can cause bone marrow suppression. Checking for changes in white blood cell counts, hemoglobin, and platelet levels is essential to ensure the patient can tolerate the medication without severe adverse effects.

Choice D rationale:

Reviewing the patient's chemistry profile is relevant, but assessing blood counts is more critical due to zidovudine's potential impact on bone marrow function.

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Correct Answer is D

Explanation

Choice A rationale:

Ketonuria is the presence of ketones in urine and is not directly associated with vaso-occlusive crisis in sickle cell anemia. This crisis typically involves pain and ischemia in various body parts.

Choice B rationale:

Diplopia refers to double vision and is not a typical symptom of vaso-occlusive crisis. Pain, not vision changes, is the primary concern in this scenario.

Choice C rationale:

Severe abdominal pain can be a symptom of vaso-occlusive crisis in sickle cell anemia, but the patient's complaint of left elbow pain would not directly correlate with this choice.

Choice D rationale:

Hyperactive patellar reflex is the correct answer. During vaso-occlusive crisis, the body's response to pain can lead to increased muscle tone and reflexes, including hyperactive deep tendon reflexes like the patellar reflex. This is an indicator of neurologic involvement in the crisis. Remember that these rationales are intended to provide a concise understanding of the correct answers based on the information provided in the questions. Always refer to medical literature and consult with healthcare professionals for comprehensive and accurate information.

A. "I should refeed any thrust out food to my baby.". B. "I should avoid using skin lubricants on my baby.". C. "I should suction my baby's nose before feedings.". D. "I should use minimal soap when bathing my baby.".

Correct Answer is A

Explanation

Choice A rationale:

Refeeding any thrust out food to the baby is incorrect as it increases the risk of choking and aspiration. Parents should discard food that the baby has pushed out to prevent potential harm.

Choice B rationale:

Avoiding the use of skin lubricants on the baby is appropriate as these products might irritate the baby's sensitive skin.

Choice C rationale:

Suctioning the baby's nose before feedings is important to ensure proper breathing and effective feeding, especially in infants with Down Syndrome who may have nasal congestion.

Choice D rationale:

Using minimal soap when bathing the baby is appropriate to prevent skin irritation. Babies have delicate skin, and excessive soap can lead to dryness and discomfort.

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When administering zidovudine to a patient with human immunodeficiency virus (HIV), which action should be the first priority for the nurse?

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Naxlex Comprehensive Predictor Exams

An 11-year-old patient with sickle cell anemia is admitted to the hospital with vaso-occlusive crisis. He is experiencing pain in his left elbow. The nurse needs to monitor the patient for which symptom?

Correct Answer is D

Explanation

Which statement by the parent of a 10-month-old infant with Down Syndrome indicates the need for further instruction about the child's home care needs?

Correct Answer is A

Explanation

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A nurse is working on a pediatric cardiology unit and has four patients, each with a different congenital heart defect. Match the congenital heart defect with the correct hemodynamic classification.

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