A Patient with HIV and Mucocutaneous HSV Is Being Treated

question 3

Multiple Choice

A patient with HIV and mucocutaneous HSV is being treated with foscarnet after failing treatment with acyclovir. After 2 weeks, the patient's dose is increased to 90 mg/kg over 2 hours from 40 mg/kg over 1 hour. The patient reports numbness in the extremities and perioral tingling. What will the nurse do?

• A) Notify the provider and request an order for a serum calcium level.
• B) Notify the provider of potential foscarnet overdose.
• C) Request an order for a creatinine clearance level.
• D) Request an order of IV saline to be given before the next dose.

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Definitions:

Mesosystem

The quality of relationships among the people in a child’s microsystem.

Exosystem

A concept in ecological systems theory referring to the external social settings that indirectly influence an individual's development.

Chronosystem

Part of the ecological systems theory, it encompasses the dimension of time as it relates to an individual's environments and life events.

Define Family

A conceptualization of family, which can include a range of relationships and structures, from biological connections to chosen affiliations of support and care.