ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 40 : Antiviral Drugs Questions
Question 1 of 5
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?
Correct Answer: C
Rationale: These drugs need to be started within 2 days of influenza symptom onset; they can be used for prophylaxis and treatment of influenza.
Question 2 of 5
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?
Correct Answer: B
Rationale: Zidovudine, along with various other antiretroviral drugs, is given to HIV-infected pregnant women and even to newborn babies to prevent maternal transmission of the virus to the infant.
Question 3 of 5
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.)
Correct Answer: A,C,E,F
Rationale: This medication needs to be applied as long as prescribed, and the medication needs to be applied with clean gloves. Prescriptions should not be shared; if the partner develops these lesions, the partner will have to be evaluated before medication is prescribed, if needed. Eye contact should be avoided. The presence of active genital herpes lesions requires sexual abstinence.
Question 4 of 5
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.)
Correct Answer: A,B,D,E
Rationale: Anti-HIV drugs produce strain on the liver and may result in liver disease. A major adverse effect of protease inhibitors is lipid abnormalities, including lipodystrophy or redistribution of fat stores under the skin. In addition, dyslipidemias such as hypertriglyceridemia can occur, and insulin resistance and type 2 diabetes symptoms can result. The increase in long-term antiretroviral drug therapy due to prolonged disease survival has led to the emergence of another long-term adverse effect associated with these medications"bone demineralization and possible osteoporosis. Kaposi's sarcoma is an opportunistic disease associated with HIV, not a result of long-term drug therapy.
Question 5 of 5
A patient with a viral infection is to receive ganciclovir 5 mg/kg/day IVPB every morning. The patient weighs 121 pounds. Identify how many milligrams this patient will receive for this dose.
Correct Answer: 275 mg
Rationale: Convert 121 pounds to kilograms: 121 ?· 2.2 = 55 kg. Calculate dose: 5 mg/kg/day ?? 55 kg = 275 mg/day.