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ANTIVIRAL AND HIV MEDS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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ANTIVIRAL AND HIV MEDS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024 The nurse is administering intravenous acyclovir (Zovirax) to a patient with a viral infection. Which administration technique is correct? a. Infuse intravenous acyclovir slowly, over at least 1 hour. b. Infuse intravenous acyclov...

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  • October 21, 2024
  • 23
  • 2024/2025
  • Exam (elaborations)
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  • ANTIVIRAL AND HIV MEDS
  • ANTIVIRAL AND HIV MEDS
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ANTIVIRAL AND HIV MEDS
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
The nurse is administering intravenous acyclovir (Zovirax) to a patient with a viral infection.
Which administration technique is correct?
a. Infuse intravenous acyclovir slowly, over at least 1 hour.
b. Infuse intravenous acyclovir by rapid bolus.
c. Refrigerate intravenous acyclovir.
d. Restrict oral fluids during intravenous acyclovir therapy.


Ans. A


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.)
a. “Be sure to wash your hands thoroughly before and after applying for this medicine.”
b. “Apply this ointment until the lesion stops hurting.”
c. “Use a clean glove when applying this ointment.”
d. “If your partner develops these lesions, then he can also use the medication.”
e. “You will need to avoid touching the area around your eyes.”
f. “You will have to practice abstinence when these lesions are active.”ANS: A, C, E, F

For what viruses might the nurse administer acyclovir (Zovirax)? (Select all that apply.)
Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch) 170
A) Herpes simplex virus
B) Shingles
C) Chickenpox
D) HIV
E) Cytomegalovirus (CMV)

Ans: A, B, C

A patient who is diagnosed with shingles is taking topical acyclovir, and the nurse is providing
instructions about adverse effects. The nurse will discuss which adverse effects of topical
acyclovir therapy?
a. Insomnia and nervousness
b. Temporary swelling and rash

,c. Burning when applied
d. This medication has no adverse effects.

ANS: C

An immunocompromised 3-year-old has been exposed to avian flu. The patient is brought to the
clinic and the mother reports that the patient has had flu-like symptoms for the past 12 hours.
What medication would you expect the physician to order for this patient?
A) Oseltamivir (Tamiflu)
B) Amantadine (Symmetrel)
C) Ribavirin (Rebetron)
D) Zanamivir (Relenza)

Ans: A

The nurse is caring for an asymptomatic preschool-aged child who has cystic fibrosis and has
been
exposed to influenza A before receiving the appropriate immunization. What antiviral medication
might the nurse administer to this child?
A) Rimantadine (Flumadine)
B) Zanamivir (Relenza)
C) Oseltamivir (Tamiflu)
D) Amantadine (Symmetrel)

Ans: C

9. 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? a. Acyclovir (Zovirax)
b. Zidovudine (Retrovir)
c. Ribavirin (Virazole)
d. Foscarnet (Foscavir)

ANS: B

5. The nurse is caring for a pregnant woman diagnosed with HIV on prenatal drug screening.
What
medication would the nurse expect to administer to reduce the risk of maternal to fetal
transmission of the virus?
A) Lamivudine (Epivir)
Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch) 171
B) Zidovudine (Retrovir)
C) Stavudine (Zerit XR)
D) Tenofovir (Viread)Ans: B

, General and local anesthetics

When administering a neuromuscular blocking drug, the nurse needs to remember which
principle?
a. It is used instead of general anesthesia during surgery.
b. Only skeletal muscles are paralyzed; respiratory muscles remain functional.
c. It causes sedation and pain relief while allowing for lower doses of anesthetics.
d. Artificial mechanical ventilation is required because of paralyzed respiratorymuscles. ANS: D

5. A patient scheduled for surgery is to have a nondepolarizing neuromuscular junction (NMJ)
blocker as adjunctive anesthesia. The nurse will have cause for concern about prolonged
paralysis if the patient has been taking what medication? Test Bank - Focus on Nursing
Pharmacology (8th Edition by Karch) 455
A) An aminoglycoside
B) Aminophylline
C) A barbiturate anesthetic
D) A cephalosporin
Ans: A

A patient is taking aminophylline for their chronic obstructive pulmonary disease. The patient is
about
to undergo emergency surgery and will receive an neuromuscular junction (NMJ) blocker as
part of the procedure. It is important for the nurse to take what action?
A) Make sure the patient receives the aminophylline on a regular schedule to maintain
therapeutic
levels.
B) Monitor the patient very closely for signs of early arousal and return of muscle function.
Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch) 456 C)
Carefully explain all that is going on because the patient will be unable to talk.
D) Switch the patient to theophyllines before the procedure begins.

Ans: B

9. The nurse is preparing a patient for surgery who will receive a neuromuscular junction
blocker during
the procedure. It is important for the nurse to review the patient’s medication history for
concurrent use of what?
A) Angiotensin-converting enzyme (ACE) inhibitors
B) Beta blockers
C) Calcium channel blockers
D) Montelukast
Test Bank - Focus on Nursing Pharmacology (8th Edition by Karch) 457
Ans: C

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