Author Question: When providing patient teaching the nurse warns the patient to avoid what triggers of an episode of ... (Read 34 times)

DelorasTo · **on:** Jul 23, 2018

When providing patient teaching the nurse warns the patient to avoid what triggers of an episode of sickling? (Select all that apply.)

A) Acute infections
B) Immune response
C) Exposure to heat
D) Inflammatory responses
E) Metabolic alkalosis

Question 2

The nurse is assessing a patient admitted with AIDS who is taking a nonnucleoside reverse transcriptase inhibitor. What nursing diagnosis is most likely to be appropriate for this patient?

A) Risk for injury related to central nervous system (CNS) effects of the drug
B) Excess fluid volume related to renal failure
C) Imbalanced nutrition: Less than body requirements, related to gastrointestinal (GI) effects of the drugs
D) Ineffective health maintenance related to spiritual distress

cat123 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A, B, D
Feedback:
Severe, acute episodes of sickling with occluded blood vessels may be associated with acute infections and the body's reactions to the immune and inflammatory responses. Exposure to heat and metabolic alkalosis are not considered triggers.

Answer to Question 2

C
Feedback:
The adverse effects most commonly experienced with these drugs are GI relateddry mouth, constipation or diarrhea, nausea, abdominal pain, and dyspepsia. As a result, this patient is most at risk for imbalanced nutrition; less than body requirements. CNS effects are not common with this classification of drug. Renal failure is not a common adverse effect. Nothing indicates the possibility of spiritual distress in this situation.