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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 B

Explanation

Choice A rationale:

Pancreatic enzymes are used to aid in digestion and are not known to interact significantly with serum creatinine levels. Therefore, they are unlikely to be contraindicated based solely on an elevated serum creatinine level.

Choice B rationale:

Gentamicin is an aminoglycoside antibiotic that is primarily eliminated by the kidneys. Elevated serum creatinine levels indicate potential renal impairment, which could lead to reduced drug clearance and an increased risk of gentamicin toxicity, including nephrotoxicity and ototoxicity. Consulting the health care provider before administering gentamicin is important to ensure the appropriateness of the medication dosage and regimen.

Choice C rationale:

Albuterol is a bronchodilator commonly used to treat respiratory conditions. Serum creatinine levels are not directly related to albuterol administration. It is unlikely that an elevated serum creatinine level would significantly affect the administration of albuterol.

Choice D rationale:

Carbenicillin is an antibiotic that is excreted through the kidneys. While renal function may impact the dosing of carbenicillin, an elevated serum creatinine level alone may not necessarily warrant consultation with the health care provider. Other factors such as the severity of renal impairment and the patient's overall condition would need to be considered.

A. "I am glad my child can take a pacifier along.". B. "I can feed my child before the procedure.". C. "I won't bathe my child until tomorrow.". D. "I should count wet diapers afterwards.".

Correct Answer is C

Explanation

Choice A rationale:

Allowing a pacifier is appropriate and unrelated to the procedure.

Choice B rationale:

Feeding before the procedure helps prevent dehydration and maintains the infant's well-being.

Choice C rationale:

Bathing immediately after the procedure can introduce infection risk through the catheterization site. Waiting a day is advisable.

Choice D rationale:

Counting wet diapers helps monitor hydration post-procedure; it's a valid concern. In each case, the correct choices were determined by logical reasoning and adherence to medical guidelines. It's important for healthcare providers to educate patients and caregivers to ensure the best outcomes for patients' health and well-being.

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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

A patient has an elevated serum creatinine level. Based on this information, the nurse should consult with the health care provider before administration of which medication?

Correct Answer is B

Explanation

A 2-day-old infant suspected of having an atrioventricular canal defect is scheduled for a cardiac catheterization in two hours. Prior to the cardiac catheterization, the caregiver makes several statements to the nurse. Which statement by the mother would indicate a need for further education?

Correct Answer is C

Explanation

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