The nurse is caring for a patient who is HIV positive and has a previous history of drug and alcohol abuse. The patient is being treated with combination therapies, including didanosine [Videx]
Which laboratory findings would most concern the nurse? a. Increased serum amylase and triglycerides and decreased serum calcium
b. Decreased serum amylase and serum trig-lycerides and increased serum calcium
c. Decreased hemoglobin and hematocrit
d. Increased serum amylase, decreased trig-lycerides, and increased platelets
A
The nurse should be concerned about increased serum amylase triglycerides and a decreased se-rum calcium, which are symptoms of pancreatitis, the major adverse effect of didanosine. The other laboratory test results and assessment findings are not consistent with pancreatitis and are not a concern for the nurse.
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