A patient with hepatitis B begins treatment with adefovir [Hepsera] and asks the nurse how long the drug therapy will last. The nurse will tell the patient that the medication will need to be taken for:
a. a lifetime.
b. an indefinite, prolonged period of time.
c. 48 weeks.
d. until nephrotoxicity occurs.
B
Current guidelines recommend treatment only for patients at highest risk; it is unknown whether treatment should continue lifelong. Treatment is usually prolonged, without a specific period of time. Nephrotoxicity is common but is not the deciding factor when determining length of effec-tive treatment.
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Behaviors that would alert the nurse to a possible hearing deficit in the patient would be (select all that apply):
1. watching the speaker's mouth. 2. giving inappropriate answers to questions. 3. complaining about people muttering and mumbling. 4. not responding when spoken to. 5. turning the good ear to the speaker.
What disorder of the thorax or lung best describes his symptoms?
A 17-year-old high school senior presents to your clinic in acute respiratory distress. Between shallow breaths he states he was at home finishing his homework when he suddenly began having right-sided chest pain and severe shortness of breath. He denies any recent traumas or illnesses. His past medical history is unremarkable. He doesn't smoke but drinks several beers on the weekend. He has tried marijuana several times but denies any other illegal drugs. He is an honors student and is on the basketball team. His parents are both in good health. He denies any recent weight gain, weight loss, fever, or night sweats. On examination you see a tall, thin young man in obvious distress. He is diaphoretic and is breathing at a rate of 35 breaths per minute. On auscultation you hear no breath sounds on the right side of his superior chest wall. On percussion he is hyperresonant over the right upper lobe. With palpation he has absent fremitus over the right upper lobe. A) Spontaneous pneumothorax B) Chronic obstructive pulmonary disease (COPD) C) Asthma D) Pneumonia
Which is smaller: or 0.5?
What will be an ideal response?
A nurse is administering morning medications. The nurse gives a patient multiple medications, two of which compete for plasma albumin receptor sites. As a result of this concurrent administration, the nurse can anticipate that what might occur?
(Select all that apply.) a. Binding of one or both agents is reduced b. Plasma drug levels of free drug will rise c. Plasma drug level of free drug will fall d. The increase in free drug can intensify effects e. The increase in bound drug can intensify effects