A patient who is taking didanosine [Videx] reports nausea, vomiting, and abdominal pain. What will the nurse recommend to this patient?
a. "Take the drug with food to minimize these side effects."
b. "Stop taking the drug immediately and resume taking it once your symptoms subside."
c. "Take the medication in the evening to avoid experiencing these kinds of symp-toms."
d. "You will need laboratory tests to deter-mine if these are serious effects of the drug."
D
As with all NRTIs, pancreatitis may occur and may manifest as nausea, vomiting, and abdominal pain. The patient will need evaluation of serum amylase, triglycerides, and calcium. Taking the drug with food or at a different time of day are not indicated. It is not correct to discontinue the drug and to resume it when symptoms subside, since pancreatitis may be fatal.
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