The practical nurse (PN) is caring for a patient with human immunodeficiency virus (HIV) who is receiving a nucleoside/nucleotide reverse transcriptase inhibitor (NRTI). The patient reports experiencing malaise, fatigue, and anorexia.
The PN observes the patient’s respirations are 30 breaths/minute.
Which laboratory result is most important for the PN to review?
Liver function tests.
Arterial blood gases.
Complete blood count.
Basic metabolic panel.
The Correct Answer is A
Choice A rationale
The patient is receiving a nucleoside/nucleotide reverse transcriptase inhibitor (NRTI) for HIV
treatment and reports experiencing malaise, fatigue, and anorexia. These symptoms, along
with the observed increased respiratory rate, could be indicative of liver toxicity, a known
potential side effect of NRTIs. Therefore, reviewing liver function tests would be most
important in this case.
Choice B rationale
While arterial blood gases can provide valuable information about a patient’s respiratory
status, they may not be the most relevant in this context. The patient’s symptoms and the side
effect profile of NRTIs suggest that liver function may be a more pressing concern.
Choice C rationale
A complete blood count (CBC) can provide a broad overview of a patient’s general health, but it
may not provide the specific information needed to assess the patient’s current symptoms and
potential medication side effects.
Choice D rationale
A basic metabolic panel can provide information about a patient’s kidney function, electrolyte
levels, and blood sugar levels, among other things. However, given the patient’s symptoms and
medication regimen, liver function tests may be more relevant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is A. Protect skin from sun exposure.
Choice A rationale
Tetracycline is a type of antibiotic that can make your skin more sensitive to the sun. Sun protection is important to prevent sunburn and other skin damage.
Choice B rationale
There is no specific interaction between tetracycline and grapefruit juice. However, it’s always a good idea to check with a healthcare provider about potential food-drug interactions.
Choice C rationale
The use of tampons during menses is not directly related to the use of tetracycline. It’s a personal choice based on comfort and convenience.
Correct Answer is A
Explanation
Choice A rationale
Clearing the nose with a tissue prior to the instillation of nasal drops can help to remove
mucus and other obstructions, allowing the medication to reach the nasal passages more
effectively15.
Choice B rationale
Deep inhalation through the nose is not typically recommended prior to the instillation of
nasal drops. It could potentially draw the medication deeper into the nasal passages or into the
throat, rather than allowing it to remain in the intended area15.
Choice C rationale
Holding the breath temporarily is not typically necessary or recommended prior to the
instillation of nasal drops15.
Choice D rationale
the nasal passages, but it is not as effective or recommended as using a tissue to clear the
nose15.
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