Author Question: The nurse is caring for a patient with chronic hepatitis B who is being treated with adefovir ... (Read 31 times)

CharlieWard · **on:** Jul 23, 2018

The nurse is caring for a patient with chronic hepatitis B who is being treated with adefovir (Hepsera). Which of the following findings would indicate that this medication is appropriate for this patient?

a. Human immunodeficiency virus (HIV) infection and a low CD4 count
b. Renal insufficiency on dialysis
c. No clinical or laboratory evidence of HIV infection
d. Allergy to purine nucleoside analogues

Question 2

The nurse is caring for a patient in the cardiac care unit who is receiving lidocaine. The patient appears confused and drowsy and complains of numbness and tingling. During the physical as-sessment, the patient begins having convulsions.

The nurse should prepare for immediate intra-venous administration of a. digoxin (Lanoxin).
b. diazepam (Valium).
c. verapamil (Calan).
d. quinidine.

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

Answer to Question 1

C
Adefovir is used in patients who have no clinical or laboratory evidence of HIV infection.
HIV, renal insufficiency, and allergy to purine derivatives are contraindications to treatment with adefovir.

Answer to Question 2

B
The patient is displaying signs and symptoms of lidocaine toxicity, which is managed with di-azepam or phenytoin.
Digoxin, verapamil, and quinidine are not indicated for the management of lidocaine toxicity.