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Pharmacology
Chapter 10 questions
| Question | Answer |
|---|---|
| A nursing student is reading a journal article about highly active antiretroviral therapy (HAART). The nurse would expect to find which condition as being treated with this therapy? | human immunodeficiency virus (HIV) |
| A client with active AIDS is infected with a retrovirus. This virus is better known as which? | HIV |
| The nurse is teaching a male client with HIV about his new antiviral drug regimen. Which client statement would suggest that the teaching plan was effective? | "I should expect some nausea and vomiting." |
| A 23-year-old client is prescribed zidovudine for treatment of human immunodeficiency virus (HIV). Which statement indicates that the client has understood the client teaching regarding the action of this medication? | "Zidovudine slows the progression of the disease but does not cure it." |
| When administering the fusion protein inhibitor enfuvirtide, the nurse should include which technique to assure the medication’s continued effectiveness? | Regularly rotate the subcutaneous injection sites that are used. |
| A nurse is caring for a client hospitalized with AIDS. The family comes to visit and a family member asks the nurse about safety when visiting the client. What is the best response from the nurse? | “HIV is commonly transmitted by contact with blood and body fluids.” |
| A 70-year-old man is being treated for herpes zoster virus. He has been prescribed acyclovir (Zovirax). The clinic nurse should prioritize assessments of which of the following? | Renal function |
| An elderly female client is admitted to the medical floor with pustules on her body that travel along the nerve route in her legs and arms. The health care provider prescribes the drug acyclovir (Zovirax). What disease is this client demonstrating? | Shingles |
| A 16-year-old has come to the clinic and asks to talk to a nurse. The nurse asks the teen what she needs and the teen responds that she has become sexually active and is concerned about getting HIV. The teen asks the nurse what she can do keep from getting HIV. What would be the nurse’s best response? | Other than abstinence, only the consistent and correct use of condoms is effective in decreasing the risk of getting HIV.” |
| Many of the residents of a long-term care facility have become sick with influenza this winter despite the fact that all residents were immunized earlier in the fall. A nurse who provides care in the facility should recognize the need to have which of the following drugs readily available at the facility? | Oseltamivir phosphate |
| A 21-year-old woman diagnosed with HIV/AIDS 4 years ago now presents with cytomegalovirus (CMV). The nurse explains to the woman that this infection is caused by a common organism that normally does not cause infection in someone who is not what? | Immuocompromised |
| A nurse is caring for a patient with HIV. What lab tests would the nurse monitor when a protease inhibitor has been ordered for this patient? | Serum alanine aminotransferase and bilirubin |
| Antiviral drugs have limited use because they are effective against only a small number of specific viral infections, including which of the following? (Select all that apply.) | Human immunodeficiency virus (HIV) Herpes simplex virus (HSV) Cytomegalovirus (CMV) |
| A nurse is performing an admission assessment on a client admitted with AIDS. When assessing the client's gastrointestinal system, what is most likely to be a priority nursing diagnosis? | Imbalanced nutrition: More than body requirements |
| What can the nurse do to maximize a patient's adherence to the medication regimen? | As an advocate of the patient, discuss benefits and risks of antiretroviral therapy as well as administration. |
| A nurse is providing care to a client who is receiving a protease inhibitor with a nursing diagnosis of Disturbed Body Image related to a redistribution of fat to the abdomen. Which intervention would the nurse include in the client’s plan of care? | encouraging the client to verbalize feelings about body changes |
| In which clients are the use of cidofovir contraindicated? | clients with renal impairment |
| The nurse is caring for a 3-year-old with HIV. The nurse knows that, when administering antiviral drug therapy in young children with HIV, dosage calculations are typically based on: | the client's weight. |
| A patient is being tested for HIV using the EIA (enzyme immunoassay). The EIA shows antibodies. The nurse expects the physician to order what test to confirm the EIA test results? | Western blot test |
| The nurse is caring for a client who is HIV positive. What laboratory test is used to determine this client’s ability to fight against viral infections? | CD4 |
| For which clients would treatment with acyclovir be most clearly indicated? | A 77-year-old whose recent debilitating pain has been attributed to a herpes zoster infection |
| A patient being treated for HIV with saquinavir informs the nurse they he has been "suffering from depression" and taking St. John's wort to help. What is important for the nurse to discuss with this patient? | Refraining from use of St. John's wort, which can cause decreased effectiveness of saquinavir |
| The nurse is providing health education to a client who has recently been diagnosed with HIV and will soon begin antiretroviral therapy. What teaching point should the nurse prioritize? | The need to adhere rigidly to the prescribed drug schedule |
| A nurse is preparing to administer famciclovir to a client with a herpes virus infection. The nurse should expect to administer this drug by which route? | Oral |
| A 38-year-old man is being treated for HIV-1 with nevirapine (Viramune). Signs of severe liver dysfunction have been noted by the health care provider and a change in the drug therapy is necessary. The nurse explains to the client that: | the therapy will be discontinued. |
| A 58-year-old with HIV is starting treatment with Combivir. He currently has a CD4+ cell count of less than 200 cells/mL and a viral load greater than 45,000 copies/mL. The nurse treating the client knows that what is a sign of effective drug therapy? | Increased CD4+ cell counts |
| In which of the following patients is the use of cidofovir contraindicated? | Patients with renal impairment |
| A HIV-positive patient is being treated with didanosine as part of the antiretroviral therapy. Which of the following symptoms should the nurse monitor for and immediately report to the care provider? | Peripheral neuropathy |
| A nurse is explaining the rationale for the use of combination therapy in the treatment of HIV infections. Which would the nurse include as the primary reason? | The use of multiple drugs allows attack on the virus at different points in its life cycle. |
| While reviewing a newly admitted client’s previous health records, the nurse notes that the client is currently prescribed acyclovir. The nurse should assess the client for signs and symptoms associated with what medical diagnosis? | herpes simplex virus |
| A client's health care provider is considering the addition of efavirenz to the client's drug regimen for the treatment of recently diagnosed HIV. Which aspects of the client's medical history should prompt the nurse to question the use of this drug? | The client has hepatitis C and a history of heavy alcohol use. |
| An elderly female client is admitted to the medical floor with pustules on her body that travel along the nerve route in her legs and arms. The health care provider prescribes the drug acyclovir (Zovirax). What disease is this client demonstrating? | Shingles |
| A 45-year-old client is prescribed acyclovir for the treatment of genital herpes. Which is an expected outcome for this client? | The client will experience fewer recurrences. |
| An adult client is being treated for genital herpes with acyclovir. Which client statement indicates a need for further health education? | “It’s a relief to know that this drug will stop me from spreading the infection.” |
| A patient with HIV is taking zidovudine and becomes pregnant. What does the nurse anticipate that the instructions will be for this patient? | The patient will be advised to continue taking the zidovudine. |
| A client comes to the health care facility reporting flulike symptoms. After a thorough assessment, the client is diagnosed with influenza and is to receive oseltamivir. The nurse understands that this drug has been prescribed because the client been symptomatic for less than: | 2 Days |
| A male patient has been prescribed efavirenz as monotherapy for HIV. On follow-up visits to the clinic, it will be most important for the nurse to assess for which of the following? | Signs of microbial resistance |
| A nurse is teaching a client with herpes zoster to apply acyclovir ointment. What guidance should the nurse include in the instructions? | "Wear gloves when applying the ointment." |
Created by:
bonitasoul
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