Author Question: A young adult male who has had multiple sex partners in the preceding months has been diagnosed with ... (Read 54 times)

kodithompson · **on:** Jul 23, 2018

A young adult male who has had multiple sex partners in the preceding months has been diagnosed with hepatitis B virus (HBV) and begun treatment with lamivudine (Epivir).

Shortly after beginning treatment, the man complains of a 24-hour history of intense abdominal pain. The nurse should recognize the possibility of what adverse effect of lamivudine therapy? A) Gastroenteritis
B) Gastroesophageal reflux disease
C) Bowel obstruction
D) Pancreatitis

Question 2

A patient is scheduled to receive an immunization. In which of the following patients may the administration of a live vaccine be contraindicated?

A) Patient with renal insufficiency
B) Patient with hepatic failure
C) Patient taking steroid therapy
D) Patient over the age of 65 years

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

Answer to Question 1

D
Feedback:
A main adverse effect of lamivudine is pancreatitis. GERD, obstruction, and gastroenteritis do not typically result from lamivudine therapy. As well, these problems do not typically manifest with intense and sudden abdominal pain.

Answer to Question 2

C
Feedback:
Patients receiving a systemic corticosteroid in high doses (e.g., prednisone 20 mg or equivalent daily) or for longer than 2 weeks should wait at least 3 months before receiving a live-virus vaccine. No evidence supports withholding immunizations related to renal insufficiency or hepatic failure. Patients over the age of 65 should receive immunizations as needed to protect from infectious disease.