Question

1. A patient’s health care provider prescribed tenofovir to treat chronic hepatitis B, what information related to the side effects should be included in patient education for this medication?

A: Decreased bone density

B: Excitability

C: Constipation

D: Increased appetite

2. A student nurse is providing education to the family of a patient with hepatic encephalopathy. The patient’s treatment plan includes the drug lactulose. What is the best explanation the student nurse can give to the patient’s family about why the medication is ordered?

A: It decreases water content to eliminate bacteria

B: It promotes elimination of ammonia in the stool

C: It reduces pressure in the portal veins

D: It absorbs blood from the GI tract

Answer 1

Tenofovir is an antiviral drug used for the effective management of hepatitis B. During this therapy the patient should be aware of decreased minimal bone density as a possible side effect and nurse should include this in his/ her patient education, which may lead to osteoporosis and bone loss i.e. osteopenia on longer usage..Thus option A is correct..

Lactulose a laxative drug, is proved to be very effective in liver diseases like hepatic encephalopathy, as it promotes drawing of ammonia frofrom blood and eliminate it by stool or fecal matter.It is advised to take lactulose and antibiotics in combination for the best therapy of hepatic encephalopathy. Hence option B is correct answer.