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Author Question: A 40-year-old man has been living with HIV for several years but experienced a significant decrease ... (Read 45 times)

nramada

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on: Jul 23, 2018
A 40-year-old man has been living with HIV for several years but experienced a significant decrease in his CD4+ levels a few months ago. The patient has just been diagnosed with Mycobacterium avium complex disease.
 
  The nurse should anticipate administering which of the following medications? Select all that apply. A) Clarithromycin
  B) Pyrazinamide
  C) Rifapentine (Priftin)
  D) Azithromycin
  E) Bactrim

Question 2

A middle-aged female has presented to the emergency department (ED) after 36 hours of severe diarrhea that shows no sign of abating. The patient's family members are asking that the care team provide medications to resolve her diarrhea.
 
  The ED nurse should be aware that the use of diphenoxylate (Lomotil) would be contraindicated in which of the following circumstances? A) The patient has a documented history of laxative abuse.
  B) The patient's diarrhea is caused by the ingestion of toxins.
  C) The patient's diarrhea is attributable to psychosocial stress.
  D) The patient has an allergy to aspirin.


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reelove4eva

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Reply #1 on: Jul 23, 2018
Answer to Question 1

A, D
Feedback:
The main drugs used in prevention of MAC disease in patients with HIV are the macrolides azithromycin and clarithromycin. Pyrazinamide, Bactrim, and Priftin are not used to treat MAC.

Answer to Question 2

B
Feedback:
Contraindications to the use of diphenoxylate with atropine include diarrhea caused by toxic materials, microorganisms that penetrate intestinal mucosa (e.g., pathogenic E. coli, Salmonella, Shigella), and antibiotic-associated colitis. Laxative abuse, allergies to aspirin, and the presence of stress do not contraindicate the safe use of Lomotil.


nramada

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Reply #2 on: Jul 23, 2018
Thanks


reelove4eva

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Reply #3 on: Jul 23, 2018
Welcome :)


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