EAQ 12- CH 40 antiviral, week 4
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Questions and Answers

The nurse observes that a patient has cold sores around the mouth. Which virus would have caused this condition?

  • Herpes simplex type 1 (correct)
  • Epstein- Barr virus (EBV)
  • Cytomegalovirus (CMV)
  • Varicella- zoster virus (VZV)
  • Which microorganism is directly affected by acyclovir (Zovirax)?

  • Herpes zoster (correct)
  • Proteus vulgaris
  • Pneumocystis carinii
  • Staphylococcus aureus
  • which agent is used to treat most infections caused by herpes simplex viruses and varicella-zoster virus?

  • Acyclovir (correct)
  • Zanamivir
  • Ganciclovir
  • Amantadine
  • A patient has been diagnosed with genital herpes. Which drug will be used to treat and manage this infections?

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

    The nurse is administering intravenous (IV) acyclovir to the patient. What will the nurse remember to ensure safe administration of drug?

    <p>Monitor the IV site.</p> Signup and view all the answers

    A patient is receiving ribavirin (Virazole) for treatment of respiratory syncytial virus. According to the nurse, which are the appropriate routes to administer the prescription? Select all that apply.

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

    The health care provider orders ritonavir for a patient who has acquired immune deficiency syndrome. The nurse would inform the patient about which adverse effect of ritonavir therapy?

    <p>Bony appearance of the face</p> Signup and view all the answers

    A nurse receives a question from a patient about amantadine, and knows that the patient has which condition?

    <p>Influenza A</p> Signup and view all the answers

    The nurse is assessing a pregnant patient who has active herpes simplex virus type 2 (HSV-2). Which precaution would the nurse suggest to the patient to ensure the newborn's safety?

    <p>Give birth via cesarean section (C-section).</p> Signup and view all the answers

    A patient who is resistant to several antiretroviral therapies is prescribed maraviroc. Which substance in the patient's history would decrease the therapeutic effect of the drug?

    <p>St. John's wort</p> Signup and view all the answers

    Which nurse would not be assigned to treat a patient who is receiving ribavirin in an aerosol formulation?

    <p>A nurse who is pregnant</p> Signup and view all the answers

    A patient has been prescribed acyclovir. Which precautionary measure would the nurse implement to minimize kidney damage associated with this drug?

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

    A patient is diagnosed with cytomegalovirus (CMV) retinitis. Which drug would the nurse expect to administer to this patient?

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

    Which antiviral drug causes lipodystrophy as a major adverse effect?

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

    Which antiviral drug is contraindicated patient who have an allergy to penciclovir?

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

    Which antiviral drug is contraindicated in pregnant women because of its teratogenic properties?

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

    Risk of which type of interaction is associated with the use of zidovudine along with acyclovir?

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

    A patient who has undergone a hearth transplant contracts cytomegalovirus retinitis while undergoing cyclosporine therapy. Why might valganciclovir be a better choice of anticytomegalovirus retinitis therapy than ganciclovir sodium for this patient?

    <p>valganciclovir has a higher oral bioavailability than does ganciclovir sodium</p> Signup and view all the answers

    Which diagnostic results will the nurse monitor to evaluater the effectiveness of antiviral agents administered to treat human immunodeficiency virus (HIV) Infection?

    <p>Viral load</p> Signup and view all the answers

    Patient are advised to drink at least 48 oz of liquids everyday while taking indinavir to prevent which adverse effect of therapy?

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

    The stool reports of a patient confirms gastroenteritis. Which viral infection would the nurse suspect patient to have? SATA

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

    which statement by the nurse regarding aminoglycosides is accurate?

    <p>&quot;Aminoglycosides can potentiate warfarin toxicity&quot;</p> Signup and view all the answers

    Which would be included in the instructions when teaching a patient about indinavir?

    <p>take the medication on an empty stomach</p> Signup and view all the answers

    Which antiretroviral drug is classified as a fusion inhibitor?

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

    A patient who has acquired immunodeficiency syndrome takes indinavir, zidovudine, maraviroc and zanamivir. which medication would the nurse administer in the morning before breakfast to maximize its effectiveness?

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

    A patient is being treated with zidovudine for human immunodeficiency virus infection and is also prescribed ribavirin for respiratory syncytial virus ( RSV) infection. which problem would coadministration of these medication cause?

    <p>Antagonized anitviral action of ribavirin</p> Signup and view all the answers

    The health care provider is considering prescribing a patient ritonavir, a protease inhibitor. The patient tells the nurse about being recently diagnosed with type 2 diabetes mellitus. which action would the nurse take?

    <p>notify the health care provider of the new information</p> Signup and view all the answers

    A patient is prescribed cidofovir to treat retinitis. After checking the patient medication history, the nurse finds that the patient also takes cyclosporine and asks the health care provider to change the prescription. which adverse effect is the nurse trying to prevent?

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

    A patient is being discharged to continue with antiviral therapy for acquired immunodeficiency syndrome( AIDS) which information would the nurse provide to the patient to improve adherence to the antiviral therapy regimen?

    <p>Viruses are usually well established in the host before clinical indicators appear.</p> Signup and view all the answers

    Administration of indinavir may exacerbate which health problem?

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

    The nurse is planning care for a patient who will be discharged home on intravenous ganciclovir for the treatment of cytomegalovirus. which information would the nurse include to prevent complications?

    <p>Instruct patient to avoid crowds</p> Signup and view all the answers

    A patient is beginning treatment of hepatitis C with sofobuvir and leadipasvir (Harvoni). Which finding in the patients medical administration record would this medication to be contraindicated?

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

    The health care provider has prescribed highly active anitetroviral therapy( HAART) for the treatment of a patient with a new diagnosis of human immunodeficiency virus. which baseline data must be obtained prior to giving the first does and monitored?

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

    Which cue noted in the assessment would require immediate health care provider notification for a patient receiving raltegravir for human immunodeficieny virus infection?

    <p>pain level 8/10</p> Signup and view all the answers

    The nurse has instructed a paitent diagnosed with human immunodeficiency virus (HIV) on the use of zidovudine. which patient statement demonstates a need for additonal teaching?

    <p>&quot; i should lie down after this medication to prevent dizziness&quot;</p> Signup and view all the answers

    Which class of drugs necessitates adequate hydration in the patient to prevent drug toxicity?

    <p>protease inhibitors</p> Signup and view all the answers

    A nurse reviewing the lab reports for a patinet with human immunodeficieny virus is taking zidovudine. Which finding in the patient suggests possibel drug-related adverse effect?

    <p>white blood cell count 1000 cells/MCL of blood</p> Signup and view all the answers

    A patient with cytomegalovirus infection and renal insufficiency is to receive antiviral therapy. Which diagnostic results would the nurse monitor to prevent complications of the antiviral therapy prescribed for this patient?

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

    a patient who has undergone a heart transplant contacts cytomegalovirus retinitis while receiving cyclosporine therapy. Which antiviral therapy for the treatment of cytomegalovirus retinitis is contraindicated in this patient?

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

    A patient with acquired immune deficiency syndrome (AIDS) receives a change in therapy after developing a hump on the neck with retroviral therapy. The hump has diminished with the change in therapy. Which therapeutic agent was the patient switched to?

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

    The nurse anticipates that which lab value indicates that a patient should begin prophylactic treatment for opportunistic infections?

    <p>CD4 count of 165 cell/mm 3</p> Signup and view all the answers

    Which precaution would the nurse implement for self-protection when a patient who has herpes simplex virus type 2 (HSV-2) needs to receive acyclovir?

    <p>Keep the hands away from the eyes.</p> Signup and view all the answers

    Which is the primary assessment the nurse would make for a patient who is taking ganciclovir sodium?

    <p>Complete blood count</p> Signup and view all the answers

    A patient who is treated with zidovudine develops blistering, rashes, fever, and myalgia. Which intervention would the nurse perform?

    <p>Inform the primary health care provider.</p> Signup and view all the answers

    A patient enters the emergency department with suspected influenza. Before administering the prescribed oseltamivir, which question would the nurse ask to determine if this treatment can be implemented?

    <p>When did your symptoms begin?</p> Signup and view all the answers

    Which parameter would the nurse assess prior to administering intravenous acyclovir 750 mg to a patient with herpes zoster?

    <p>Pain level</p> Signup and view all the answers

    Which laboratory test would the nurse obtain prior to administering the first dose of ribavirin to a female patient with respiratory syncytial virus?

    <p>Pregnancy test</p> Signup and view all the answers

    The nurse is preparing to administer the third dose of intravenous remdesivir 100 mg to a patient with COVID 19. Which cure would cause the nurse to hold the dose and contact the provider?

    <p>Creatine clearance 15 mL/min</p> Signup and view all the answers

    Which is the dose-limiting toxicity of ganciclovir treatment?

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

    A patient is diagnosed with cytomegalovirus (CMV) retinitis. Which drug would the nurse expect to administer to this patient?

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

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