A group of nursing students are reviewing information about antiretroviral therapy.
The students demonstrate understanding of the information when they identify which conditions as requiring cautious use of this class of drugs?

Impaired hepatic function.

Impaired renal function.

Hypertension.

COPD.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Impaired hepatic function requires cautious use of antiretroviral therapy. Many antiretroviral drugs are metabolized in the liver, and impaired hepatic function can affect drug metabolism and lead to potential drug interactions and toxicity. Adjustments in antiretroviral therapy may be needed in individuals with liver impairment.

Choice B rationale:

Impaired renal function also requires cautious use of antiretroviral therapy. Some antiretroviral drugs are eliminated by the kidneys, and impaired renal function can affect drug clearance. Dosing adjustments and drug selection may be necessary in individuals with renal impairment to prevent drug accumulation and toxicity.

Choice C rationale:

Hypertension is not a specific condition that requires cautious use of antiretroviral therapy. While some antiretroviral drugs can have side effects related to blood pressure, such as protease inhibitors, hypertension itself is not a contraindication for antiretroviral therapy.

Choice D rationale:

COPD (Chronic Obstructive Pulmonary Disease) is not a specific condition that requires cautious use of antiretroviral therapy. Antiretroviral therapy is primarily used in the treatment of HIV, and COPD is a lung condition unrelated to HIV. The two conditions do not directly interact, and COPD is not a contraindication for antiretroviral therapy. .

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Correct Answer is A

Explanation

Choice B rationale:

Nausea is a common side effect of metoclopramide, and while it is important to monitor, it is not a symptom that the client should specifically report to the primary healthcare provider unless it becomes severe or persistent.

Choice C rationale:

Muscle laxity and shuffling gait (Choices C and D) are potential side effects of other medications, such as antipsychotic drugs, but they are not typically associated with metoclopramide. Therefore, these are not the symptoms the client should report. Difficulty swallowing (Choice A) is a concerning side effect of metoclopramide and should be reported to the healthcare provider immediately. It can be a sign of a serious condition called tardive dyskinesia, which is a potentially irreversible side effect of the medication. Early recognition and discontinuation of metoclopramide are essential to prevent further complications.

A. Urinalysis. B. Culture tests. C. Ulcer tests. D. Stool tests.

Correct Answer is B

Explanation

Choice A rationale:

Urinalysis is not typically required before administering ciprofloxacin unless there is a specific indication. Ciprofloxacin is often prescribed for urinary tract infections, but routine urinalysis may not be necessary in all cases. Culture tests are more appropriate to determine the causative microorganism and its susceptibility to ciprofloxacin.

Choice B rationale:

Culture tests are essential before administering ciprofloxacin. These tests help identify the specific pathogen causing the infection and determine its sensitivity to the antibiotic. This information is crucial for selecting the most effective treatment and preventing the development of antibiotic resistance.

Choice C rationale:

There is no standard "ulcer test" that needs to be completed before administering ciprofloxacin. The choice of administering ciprofloxacin would depend on the clinical presentation, patient history, and the suspected infection. Culture tests are more relevant for identifying the infection's source.

Choice D rationale:

Stool tests are not typically required before administering ciprofloxacin unless there is a specific indication, such as suspected gastrointestinal infections. Again, the necessity for such tests would depend on the clinical presentation and the healthcare provider's assessment. Culture tests are essential for identifying the causative microorganism in most cases.

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A group of nursing students are reviewing information about antiretroviral therapy.The students demonstrate understanding of the information when they identify which conditions as requiring cautious use of this class of drugs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is prescribed metoclopramide about signs and symptoms to report to the primary health care provider.The nurse determines that the teaching was successful when the client states which of the following?

Correct Answer is A

Explanation

A nurse is preparing to administer ciprofloxacin as ordered.Which test would the nurse ensure is completed before administering the first dose to the patient?

Correct Answer is B

Explanation

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A group of nursing students are reviewing antineoplastic drugs.The students demonstrate understanding of the information when they identify which of the following as cell cycle specific?

A group of nursing students are reviewing information about antiretroviral therapy.The students demonstrate understanding of the information when they identify which conditions as requiring cautious use of this class of drugs?

A group of nursing students are reviewing information about antiretroviral therapy.
The students demonstrate understanding of the information when they identify which conditions as requiring cautious use of this class of drugs?