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Author Question: A patient who has been taking cimetidine (Tagamet) for a year has all of the following symptoms. ... (Read 102 times)

SAVANNAHHOOPER23

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on: Jul 23, 2018
A patient who has been taking cimetidine (Tagamet) for a year has all of the following symptoms. Which symptom does the nurse report immediately to the prescriber?
 
  a. Darkened urine and white stool
  b. Altered food taste and dry mouth
  c. Weekly constipation with bloating
  d. Reduced interest in sexual activity

Question 2

Which patient outcomes are major goals of antiretroviral therapy? (Select all that apply.)
 
  a. Prevention of opportunistic infections
  b. Conversion to an HIV-negative antibody status
  c. Reduction of the number of viral particles in the patient's blood
  d. Increase in CD4+ cells
  e. Decrease in CD8+ cells
  f. Prevention of disease spread


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bpool94

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

A
Cimetidine can cause drug-induced hepatitis. Dark urine and white stool are symptoms of liver problems and should be investigated immediately before any damage becomes permanent. It is likely the drug will need to be discontinued.

Answer to Question 2

A, C, D, F
The human immunodeficiency virus (HIV) retrovirus selectively infects the helper/inducer T cells, known as CD4+ cells, which coordinate the patient's immune response. When these cells are destroyed, the person has little protection from opportunistic infection. Successful antiretroviral therapy reduces the number of viral particles in the blood and increases the CD4+ cell numbers in the blood. These actions reduce the risk for opportunistic infection and reduce the likelihood of HIV disease spread by the patient. Antiretroviral therapy does not affect the number of CD8+ cells and does not change the patient's antibody status.


SAVANNAHHOOPER23

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


bpool94

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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