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Chapter 40 Antiviral agents NCLEX questions
The nurse is obtaining a medication history from a client diagnosed with genital herpes.Which drug would the nurse expect this client to be prescribed?
- Ribavirin (Virazole)
- Acyclovir (Zovirax)
- Zidovudine (Retrovir)
- Amantadine (Symmetrel) - B. Acyclovir (Zovirax)
To assess for the dose-limiting toxicity of ganciclovir (Cytovene), the nurse will monitor which laboratory test result?
- Blood urea nitrogen
- Liver function tests
- Complete blood count (CBC)
- Creatine phosphokinase - C. Complete blood count (CBC)
Medications used to treat HIV infections are more specifically classified as what type of drugs?
- Antiviral
- Antifungal
- Antiparasitic
- Antiretroviral - D. Antiretroviral
How is the effectiveness of antiviral drugs administered to treat HIV infection assessed and evaluated?
- Viral load
- Megakaryocytic
- Lymphocyte counts
- Red blood cell counts - A. Viral load
Which client statement regarding his or her diagnosis of HIV infection indicates a need that further teaching is necessary?A "I must take these medications exactly as prescribed for the rest of my life."
- "I don't need to use condoms as long as I take my medication as prescribed."
- "I will notify my health care provider immediately if I bruise or bleed more easily than
- "I should remain upright for 30 minutes after taking my zidovudine to prevent
normal."
esophageal ulceration." - B. "I don't need to use condoms as long as I take my medication as prescribed."
When providing health promotion teaching at a senior citizen center, the nurse would include information about which medication used to decrease the duration of influenza A and B?
- Indinavir (Crixivan)
- Enfuvirtide (Fuzeon)
- Oseltamivir (Tamiflu)
- Ganciclovir (Cytovene) - C. Oseltamivir (Tamiflu)
A new vaccination, Zostavax (Zoster Vaccine Live), has been approved to prevent the development of what condition in adults older than the age of 60 years?
- Influenza A
- Herpes zoster
- Avian influenza
- Herpes simplex - B. Herpes zoster
The most significant drug interactions with use of antivirals occur when antivirals are administered via which route?
- Rectally
- Topically
- Optically
- Intravenously - B intravenously
The nurse is aware that viruses can enter the body through various routes. Through which routes can viruses enter the body? (Select all that apply.)
- Through an animal bite
- Transplacentally from mother to infant
- Inhalation through the respiratory tract
- Localized allergic reaction to medication
- Ingestion via the gastrointestinal (GI) tract - A, B, C, E
Which types of antiviral drugs are used to treat HIV infection? (Select all that apply.)
- Fusion inhibitors
- Protease inhibitors
- Neuraminidase inhibitors
- Reverse transcriptase inhibitors
- Nonnucleoside reverse transcriptase inhibitors - A, B, D
Before administration of any antiviral medication, what nursing responsibilities would be performed? (Select all that apply.)
- Baseline vital signs
- History of medication use
- Head-to-toe physical assessment
- Documentation of known allergies
- Monitor for medication adverse effects - A, B, C, D
during treatment with Zidovudine the nurse needs to monitor for which potential adverse effect
- retinitis
- Deep vein thrombosis
- Kaposi's sarcome
- Bone marrow suppression - D. bone marrow suppression
After giving an injection to a patent with HIV infection, the nurse accidentally receives a needlestick from a too-full needle disposal box. Recommendations for occupational HIV exposure may include the use of which drug
- didanosine
- Lamivudine and Enfuvirtide
- emtricitabine and tenofovir
- acyclovir - C.
when the nurse is teaching a patient who is taking acyclovir for genital herpes which statement by the nurse is most accurate
- this drug will help the lesion to dry and crust over
- acyclovir will eradicate the herpes virus
- be sure to give this drug to your partner too - A. this drug will help the lesion dry and
C this drug will prevent the spread of this virus to others
crust over
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