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LEHNES PHARMACOLOGY FOR NURSING CARE 10TH EDITION BURCHUM TEST BANK-Antiviral Agents II: Drugs for HIV Infection and Related Opportunistic Infections-CHAPTER 94

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. The nurse is caring for a patient who is human immunodeficiency virus (HIV) positive and is taking high doses of zidovudine [Retrovir]. The nurse is providing patient education about the adverse e... ffects of the medication. Which statement by the patient demonstrates a need for further teaching? a. “I may experience fatigue from anemia.” b. “I may be more susceptible to infection from neutropenia.” c. “I may have a deficiency of vitamin B6.” d. “I may have a deficiency of folic acid.” ANS: C A deficiency of vitamin B12, not vitamin B6, would be expected; this statement indicates that further teaching is required. With high-dose zidovudine, the patient can expect anemia, neutropenia, and folic acid deficiency. PTS: 1 DIF: Cognitive Level: Analysis REF: pp. 1128-1129 TOP: Nursing Process: Assessment MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies 2. The nurse is caring for a patient who is HIV positive and is taking zidovudine [Retrovir]. Before administering the medication, the nurse should monitor which laboratory values? a. Ketones in the urine and blood b. Serum immunoglobulin levels c. Serum lactate dehydrogenase d. Complete blood count (CBC) ANS: D The nurse should monitor the patient’s CBC to determine whether the patient has anemia and n [Show More]

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