Which nursing intervention is most critical during the administration of acyclovir?
Utilize an incentive spirometer
Encourage a high-carbohydrate diet
Limit the client's activity
Encourage fluids
The Correct Answer is D
A. While using an incentive spirometer is important in promoting lung expansion and preventing respiratory complications, it is not directly related to the administration of acyclovir. This intervention is typically more relevant for patients at risk of respiratory issues.
B. A high-carbohydrate diet is not a specific recommendation related to acyclovir administration. While nutrition is important for overall health, this intervention does not address the key concerns associated with the use of acyclovir.
C. While activity levels may need to be monitored based on the patient's overall condition, limiting activity is not a primary concern with acyclovir. The medication itself does not usually require significant restrictions on physical activity unless the patient has other conditions that warrant it.
D. Acyclovir can be nephrotoxic, especially when given intravenously, and maintaining adequate hydration helps prevent kidney damage. Encouraging fluids ensures that the kidneys can effectively excrete the medication and reduces the risk of crystallization in the renal tubules.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. LDL cholesterol, often referred to as "bad" cholesterol, is a major risk factor for atherosclerosis and PVD. High levels of LDL contribute to the buildup of plaque in the arteries, which can lead to these conditions.
B. While high triglycerides can be a risk factor, low triglycerides are generally not associated with increased risk of atherosclerosis or PVD.
C. Low LDL cholesterol is actually considered beneficial and can reduce the risk of heart disease.
D. HDL cholesterol, often called "good" cholesterol, helps remove LDL cholesterol from the bloodstream. High levels of HDL are actually protective against heart disease and PVD.
Correct Answer is C
Explanation
A. Rhinitis, or nasal inflammation, can occur in various respiratory infections but is not a primary symptom of bacterial pneumonia. While some children with pneumonia may have nasal congestion or a runny nose, it is not a defining characteristic of pneumonia.
B. Hemoptysis, or coughing up blood, is not a common symptom of bacterial pneumonia, especially in children. While it can occur in severe cases or specific types of pneumonia, it is not typically expected during the initial assessment of bacterial pneumonia in pediatric patients.
C. A high fever is a common and expected symptom in children with bacterial pneumonia. The body’s response to the infection often includes elevated temperatures, and fever is one of the key signs that healthcare providers look for when diagnosing pneumonia.
D. Constipation is not a symptom associated with bacterial pneumonia. While general illness can affect bowel habits, constipation is not typically seen in patients with pneumonia. The focus of the assessment would be on respiratory symptoms rather than gastrointestinal issues.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.