Author Question: The nurse is caring for a patient who is HIV positive and has a previous history of drug and alcohol ... (Read 37 times)

theo · **on:** Jul 23, 2018

The nurse is caring for a patient who is HIV positive and has a previous history of drug and alcohol abuse.

The patient is being treated with combination therapies, including didanosine (Videx). Which laboratory findings would most concern the nurse?
a. Increased serum amylase triglycerides and decreased serum calcium
b. Decreased serum amylase and serum triglycerides and increased serum calcium
c. Decreased hemoglobin and hematocrit
d. Increased serum amylase, decreased triglycerides, and increased platelets

Question 2

After receiving inactivated influenza vaccine, an adult patient telephones a nurse and complains of lethargy and a fever of 101 F that has lasted for 6 hours. Select the nurse's best action.

1. Advise the patient to take acetaminophen and rest.
2. Instruct the patient to return to the clinic immediately.
3. Inform the patient that an allergic reaction is occurring.
4. Notify the Centers for Disease Control and Prevention.

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

Answer to Question 1

ANS: A
The nurse should be concerned about increased serum amylase triglycerides and a decreased serum calcium, which are symptoms of pancreatitis, the major adverse effect of didanosine.
These other laboratory test results and assessment findings are not consistent with pancreatitis and are not a concern for the nurse.

Answer to Question 2

Correct Answer: 1