Pharm Book Mock---Ch. 40, 29
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Questions and Answers

A patient who is diagnosed with genital herpes is taking topical acyclovir, and the nurse is providing instructions about adverse effects. The nurse will discuss which adverse effects of topical acyclovir therapy?

  • Insomnia and nervousness
  • Temporary swelling and rash
  • Burning when applied (correct)
  • This medication has no adverse effects
  • A patient who has undergone a lung transplant has contracted cytomegalovirus (CMV) retinitis. The nurse expects which drug to be ordered for this patient?

  • Acyclovir
  • Ganciclovir (correct)
  • Ribavirin
  • Amantadine
  • An infant has been hospitalized with a severe lung infection caused by the respiratory syncytial virus (RSV) and will be receiving medication via the inhalation route. The nurse expects which drug to be used?

  • Acyclovir
  • Ganciclovir
  • Amantadine
  • Ribavirin (correct)
  • A patient who is HIV-positive has been receiving medication therapy that includes zidovudine. However, the prescriber has decided to stop the zidovudine because of its dose-limiting adverse effect. Which of these conditions is the dose-limiting adverse effect of zidovudine therapy?

    <p>Bone marrow suppression</p> Signup and view all the answers

    The nurse is administering intravenous acyclovir to a patient with a viral infection. Which administration technique is correct?

    <p>Infuse intravenous acyclovir slowly, over at least 1 hour.</p> Signup and view all the answers

    A patient is receiving a ribavirin aerosol treatment. Which precaution is important for the pregnant health care provider?

    <p>Staying out of the room during the aerosol treatment.</p> Signup and view all the answers

    A patient is taking a combination of antiviral drugs as treatment for early stages of a viral infection. While discussing the drug therapy, the patient asks the nurse if the drugs will kill the virus. When answering, the nurse keeps in mind which fact about antiviral drugs?

    <p>They may also kill healthy cells while killing viruses.</p> Signup and view all the answers

    A young adult calls the clinic to ask for a prescription for “that new flu drug.” He says he has had the flu for almost 4 days and just heard about a drug that can reduce the symptoms. What is the nurse’s best response to his request?

    <p>“Drug therapy should be started within 2 days of symptom onset, not 4 days.”</p> Signup and view all the answers

    The nurse is providing counseling to a woman who is HIV positive and has just discovered that she is pregnant. Which anti-HIV drug is given to HIV-infected pregnant women to prevent transmission of the virus to the infant?

    <p>Zidovudine</p> Signup and view all the answers

    A patient who is diagnosed with genital herpes is taking topical acyclovir. The nurse will provide which teaching for this patient? (Select all that apply.)

    <p>“Be sure to wash your hands thoroughly before and after applying this medicine.”</p> Signup and view all the answers

    A patient is in the HIV clinic for a follow-up appointment. He has been on antiretroviral therapy for HIV for more than 3 years. The nurse will assess for which potential adverse effects of long-term antiretroviral therapy? (Select all that apply.)

    <p>Lipodystrophy</p> Signup and view all the answers

    When reviewing the health history of a patient, the nurse will note that a potential contraindication to potassium supplements exists if the patient has which problem?

    <p>Renal disease</p> Signup and view all the answers

    During a blood transfusion, the patient begins to have chills and back pain. What is the nurse’s priority action?

    <p>Discontinue the infusion immediately, and notify the prescriber.</p> Signup and view all the answers

    The nurse is working with a graduate nurse to prepare an intravenous dose of potassium for a patient on a regular medical-surgical unit. Which statement by the graduate nurse reflects a need for further teaching?

    <p>“The intravenous potassium dose will be given undiluted.”</p> Signup and view all the answers

    A patient is in an urgent care center and is receiving treatment for mild hyponatremia after spending several hours doing gardening work in the heat of the day. The nurse expects that which drug therapy will be used to treat this condition?

    <p>Oral administration of sodium chloride tablets</p> Signup and view all the answers

    When monitoring a patient for signs of hypokalemia, the nurse looks for what early sign?

    <p>Muscle weakness</p> Signup and view all the answers

    During an infusion of albumin, the nurse monitors the patient closely for the development of which adverse effect?

    <p>Fluid volume overload</p> Signup and view all the answers

    A patient is receiving an infusion of fresh frozen plasma. Based on this order, the nurse interprets that this patient has which condition?

    <p>Coagulation disorder</p> Signup and view all the answers

    The nurse is preparing to transfuse a patient with a unit of packed red blood cells. Which intravenous solution is correct for use with the PRBC transfusion?

    <p>0.9% sodium chloride (NS)</p> Signup and view all the answers

    The nurse is preparing to transfuse a patient with a unit of packed red blood cells. Which patient would be best treated with this transfusion?

    <p>A patient with severe anemia</p> Signup and view all the answers

    After a severe auto accident, a patient has been taken to the trauma unit and has an estimated blood loss of more than 30% of his blood volume. The nurse prepares to administer which product?

    <p>Whole blood</p> Signup and view all the answers

    A patient who is severely anemic also has acute heart failure with severe edema due to fluid overload. The prescriber wants to raise the patient’s hemoglobin and hematocrit levels. The nurse anticipates that the patient will receive which blood product?

    <p>Packed red blood cells</p> Signup and view all the answers

    The nurse is preparing to give a potassium supplement. Which laboratory test should be checked before the patient receives a dose of potassium?

    <p>Serum potassium level</p> Signup and view all the answers

    During diuretic therapy, the nurse monitors the fluid and electrolyte status of the patient. Which assessment findings are symptoms of hyponatremia? (Select all that apply.)

    <p>Lethargy</p> Signup and view all the answers

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