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HIV counseling and testing should be offered to all patients before beginning EPIVIR-HBV and periodically during treatment because of the risk of rapid emergence of resistant HIV and limitation of treatment options if EPIVIR-HBV is prescribed to treat chronic hepatitis B in a patient who has unrecognized or untreated HIV infection or acquires HIV infection during treatment.

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Results in each section include screen shots, field definitions, and instructions on how to perform the various tasks.

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The nurse is preparing to administer a prescribed dose of intravenous dexamethasone (Decadron)to a client after craniotomy.

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We will need to send a stool specimen to the laboratory.

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ONCOLOGIST: a physician who specializes in the treatment of cancer.

ANS: CClaudication is stage II of chronic peripheral arterial disease.

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Not useful in the acute phase as it takes at least 4 weeks after infection before antibody appears.

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Keep the insulin frozen until you need it.

Decreased intestinal motility and paralytic ileusANS: BSalicylates are acidic, and salicylate poisoning increases the rate and depth of ventilation in twoways.

COMBIVIR, EPIVIR, EPIVIR-HBV, EPZICOM, and TRIZIVIR are registered trademarks of GlaxoSmithKline.

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This medicine may cause a serious condition called lactic acidosis.

This medication will prevent her from having a seizure and will reducethe need for monitoring intracranial pressure.

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To help reduce the risk of getting HIV-1 infection when used together with safer sex practices.

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Dried blood spot testing collected on day 16 showed consistent dose-taking in the preceding one to two months, thus overlapping with the time period when he would have seroconverted to HIV-positive.

Scientists hope that this discovery will lead to the development of drugs that trigger an artificial mutation of the CCR5 gene or target the CCR5 receptor.

On reviewing laboratory results, the nurse notesthat the clients amylase is elevated.

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You will not be intubated during general anesthesia for the surgery.

Although CT and MRI provide excellent preoperative staging, they may be used before open laparotomy.

HIV is transmitted from person to person in cell-rich body fluids (notably blood and semen) through sexual contact, sharing of contaminated needles (as by IV drug abusers), or other contact with infected blood (as in accidental needlesticks among health care workers).

Which intervention does the nurse perform first?

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What other drugs will affect lamivudine (Epivir)?

Description of Clinical Studies below).

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Treatment- It is treated with a variety of antibiotics.

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Hepatic function should be monitored closely with both clinical and laboratory follow-up for at least several months in patients who discontinue Epivir and are co-infected with HIV-1 and HBV.

Which skill is the highest priority for the nurse to teach the clientsspouse before discharge from the hospital?

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Which client statement alerts thenurse to the occurrence of heart failure?

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People with Salmonellashould not prepare foods for others because the infection may be spread inthis way.

If a prior authorization number has not been obtained by the prescriber and the pharmacist is unable to reach the prescriber, the pharmacist may obtain a prior authorization for up to a 72 hour emergency supply of a multi-source brand-name or non-preferred drug, subject to State laws and Medicaid restrictions.

What clinical course of the disease should the nurse expect in this client?

Spinal tumors usually cause disability but arenot usually fatal.

Ill get another nurse to stay in the room with us during the dressingchange so that you have a hand to hold during the procedure.

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ANS: CThe client who works in a day care facility and is infected with Streptococcus pneumoniae mayhave a drug-resistant pneumonia.

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In clinical practice, monitoring of ALT and HBV DNA levels during treatment with EPIVIR-HBV may aid in treatment decisions if emergence of viral mutants is suspected.

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The nurse is caring for an 80-year-old client who has had coronary artery bypass graft surgery.

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Therefore, the client should take hisantibiotic for the entire time prescribed to maximize the therapeutic effect.

Your order is dispatched through our order system to a licensed physician who will review the information you have submitted and approve or decline your request.

Notify the health care provider before scheduling the MRI.

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To maintain vessel patency, IV or low-molecular-weight heparin and aspirin areprescribed.

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Such adiet increases the rate of fat catabolism and results in the formation of excessive ketoacids.

There is a pregnancy registry for women who take medicines to treat HIV-1 during pregnancy.

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NystagmusANS: A, B, DIf the tumor affects the cerebral hemispheres, hemiplegia, aphasia, and behavioral changes arecommon.

About other prescription and nonprescription medicines, vitamins, nutritional supplements, and herbal products you are taking or plan to take.

May decrease dosage more frequently but avoid frequent dosage adjustments.

Have the client actively participate in drug administration duringhospitalization.

After the swelling has resolved, if the cast is loose enough to permit two or more fingers betweenthe cast and the clients skin, the cast needs to be replaced.

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Document this as a normal finding.

Avoid taking aspirin while you are on this medication.

Make sure you understand how long to take the medication.

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Heat therapy may or may notbe helpful, and reassuring the client at this point will sound unbelievable.

Hydrocolloid (DuoDerm) dressings are left in place for a minimum of 3 to 5 days forbest effect.

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Lying flat is not recommended.

ANS: CThe client undergoing a moderate sedation procedure will not need respiratory support; this is thefirst and foremost advantage of this kind of sedation.

Diagnosis is typically by testing the blood for parts of the virus and for against the virus.

TRANSJUGULAR LIVER BIOPSY: a type of liver biopsy in which a sample is taken through the jugular vein in the neck.

It is used to identify penetrance of a gene in a family.

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Blood gasesand a chest x-ray will also be obtained, but they do not take priority over assessing and monitoringthe client.

Chancroid is a sexually transmitted disease of the genital ulcer caused by the bacterium Haemophilus ducreyi.

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Ice and Motrin are acceptableactions, but checking the cast is the priority because it ensures client safety.

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Hyperkalemiacan be a life-threatening side effect, and clients should be taught to limit potassium intake.

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Histamine starts an immediateinflammatory response, which can be blocked by drugs like diphenhydramine (Benadryl).

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What does the nurse teach the clientabout this condition?

Because the implanted portis not being removed, there is no need for a pressure dressing.

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Which manifestation is a desired response to this medication?

Family physicians are treating patients infected with human immunodeficiency virus in their practices more often.

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Observe the clients for any signs of abuse.

Therapeutic massage may help boost the immune system.

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Before a clients surgery begins, the circulating nurse notes that the nurse anesthetist did notperform a surgical scrub before coming into the operating room.

The nurse is meeting a client post-liver transplantation for the first time and notices a tremor asthey shake hands.

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Administer blood pressure medication.

IMMUNODEFICIENCY: inability of the immune system to work properly, resulting in increased susceptibility to disease.

Early research suggests that using a toothpaste containing arginine, calcium, and fluoride reduces tooth sensitivity when used twice daily.

All this has already been accomplished by the original manufacturer, and was subsequently reflected in the brand-name drug price.

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When therapy with EPZICOM, ZIAGEN or TRIZIVIR has been discontinued and reinitiation of therapy is under consideration, the reason for discontinuation should be evaluated to ensure that the patient did not have a hypersensitivity reaction.

Safety and efficacy of raltegravir-based versus efavirenz-based combination therapy in treatment-naive patients with HIV-1 infection: a multicentre, double-blind randomised controlled trial.

Can be used for both prophylaxis and acute treatment.

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In megaloblastic processes, erythrogenic precursors are larger than mature red blood cells (RBCs) because folate and vitamin B 12 deficiencies result in defective RNA and DNA syntheses.

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ATOP: Client Needs Category: Physiological Integrity (Pharmacological and Parenteral TherapiesDosageCalculation) MSC: Integrated Process: Nursing Process (Assessment)2.

If my urine becomes lighter and clearer, I can stop taking mymedicine.

The risk of hepatocellular carcinoma in patients with chronic HCV infection and established cirrhosis is 2% to 8% per year.

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The study compared EPIVIR-HBV 100 mg once daily for 52 weeks, followed by either EPIVIR-HBV 100 mg or matching placebo once daily for 16 weeks (Arm 1), versus placebo once daily for 68 weeks (Arm 2).

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While the other half of women suffer from vaginal discharge, pelvic pain, and pain during intercourse.

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Calling the surgeon to come and explain all treatment options to theclientc.

ANTICONVULSANT: a drug that prevents or reduces convulsions or seizures.

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Other uses for schisandra include treatment of high cholesterol, coughs, asthma, sleep problems (insomnia), nerve pain, premenstrual syndrome (PMS), chronic diarrhea, dysentery, night sweats, spontaneous sweating, involuntary discharge of semen, thirst, erectile dysfunction (ED), physical exhaustion, excessive urination, depression, irritability, and memory loss.

Patients must have health insurance and their insurance must cover the qualifying medication for which they seek assistance.

The virus is damaging your liver cells which alerts your immune system to send in several of it's defenses.

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ATOP: Client Needs Category: Psychosocial Integrity (Therapeutic Communication)MSC: Integrated Process: Caring and Communication7.

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This situation would cause buffers toact like acids and release hydrogen ions into the blood.

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Instruct clients to avoid using lotions orointments in these areas unless the radiologist prescribes them.

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Patients who are taking and need to follow specific regimens to avoid unwanted interactions between these drugs.

Cause- The cause of Hepatitis A is the hepatitis A virus.

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Warnings and Precautions, Related Products that are Not Recommended (5.

Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared with rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice.

Because the line shows no signs of complications, it is permissible toadminister the IV antibiotic.

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Ensuring an oral intake of a least 3 L of fluids per dayd.

Use in LIFE-THREATENING emergencies when no safer drug available.

ANS: AHypovolemic shock is a common cause of death in the emergent phase of clients with seriousinjury.

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Which intervention by the nurse takespriority?

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When to start antiretroviral therapy: a swinging pendulum?

Studies in this area include: AIDS, auto-immune diseases, bacterial infections, chronic fatigue syndrome, common cold, genital herpes, genital warts, hepatitis, HIV infections, immuno-suppressives, influenza, lyme disease, meningitis, parasite and protozoan infections, strep throat, vaccines, viral infections, and others.

Viral hepatitis sometimes goes away without any treatment, but in some cases, the virus will stay in the body and cause a chronic infection.

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The terms intravenous drug user (IVDU) and people who inject drugs (PWID) are also sometimes used.

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Chalasani N, Fontana RJ, Bonkovsky HL, Watkins PB, Davern T, Serrano J, Yang H, Rochon J; Drug Induced Liver Injury Network (DILIN).

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It is easily treated with antibiotics.

Surgical resection is considered to be the best treatment for patients with solitary tumors and normal bilirubin levels who do not have portal hypertension.

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This priority action would help keep the nurse safe.

ANS: BParticipation in exercise may increase myocardial oxygen demand beyond the ability of thecoronary circulation to deliver enough oxygen to meet the increased need.

DSP is more common and more severe in people with later-stage HIV disease, but nerve conduction studies show abnormalities in a majority of people with HIV.

Prezista must be taken together with another medication called ritonavir.

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The nurse first should make sure that the airway is patent, thenshould determine whether the client is in pain, and whether bone displacement or blood loss hasoccurred.

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EPIVIR-HBV or other forms of lamivudine.

Client Needs Category: Physiological Integrity (Physiological AdaptationPotential for Alterations inBody Systems) MSC: Integrated Process: Nursing Process (Analysis)6.

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The purpose of genetic testing forthis client would be to determine whether he or she has one mutated gene allele (is a carrier) andcould transmit this disorder to his or her children.

The mean C max was approximately 80% to 90% higher with lamivudine once-daily dosing compared with twice-daily dosing.

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