Considering potential harmful side effects, which system would ...

[Melani1276]

Considering potential harmful side effects, which system would the nurse address as a priority area of assessment when a client is given lamivudine (Epivir)?
 
  1. Cardiac
  2. Renal
  3. Hepatic
  4. Pulmonary

Question 2

For which groups of clients would the community nurse recommend vaccination for hepatitis B?
 
  Standard Text: Select all that apply.
  1. All infants
  2. Sexually active people in a monogamous relationship
  3. IV drug abusers
  4. Homosexual males
  5. Persons with end-stage renal disease

[brittanywood]

Answer to Question 1

Correct Answer: 3
Rationale 1: Although important, cardiac assessment is not as important an area of assessment as another area.
Rationale 2: Although important, renal assessment is not as important an area of assessment as another area.
Rationale 3: Lamivudine can cause an unusual type of liver abnormality called lactic acidosis and hepatomegaly with steatosis. This can result in death.
Rationale 4: Although important, pulmonary assessment is not as important an area of assessment as another area.
Global Rationale: Lamivudine can cause an unusual type of liver abnormality called lactic acidosis and hepatomegaly with steatosis. This can result in death. The remaining assessments are important, but are not the highest priority.

Answer to Question 2

Correct Answer: 1,3,4,5
Rationale 1: All infants, beginning at birth, should be vaccinated against hepatitis B.
Rationale 2: Sexually active people who are not in a monogamous relationship should be vaccinated against hepatitis B.
Rationale 3: IV drug abusers should be vaccinated against hepatitis B.
Rationale 4: Males who engage in sexual relations with other males should be vaccinated against hepatitis B.
Rationale 5: Persons on dialysis are at increased risk.
Global Rationale: All infants, those persons receiving dialysis, IV drug abusers, and men who have sex with men should all have vaccination against hepatitis B. Those in long term mutually monogamous sexual relationships are at minimal risk.

[Melani1276]

Thank you!

[brittanywood]

Always glad to help...