Antiviral Agents for the Treatment Test Bank ALL ANSWERS 100% CORRECT AID GRADE A+

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For which of the following patients would treatment with acyclovir be most clearly indicated? You selected: A man who contracted hepatitis A virus (HAV) while on a tropical vacation Incorrec... t Correct response: A 77-year-old whose recent debilitating pain has been attributed to a herpes zoster infection Explanation: Acyclovir is indicated for the treatment of herpesviruses, including HSV, herpes zoster virus, Epstein-Barr virus, and CMV; it is not effective against hepatitis or RSV. Reference: Karch, A.M. Focus on Nursing Pharmacology, 6th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013, Chapter 10: Antiviral Agents, pp. 143-144. Karch, A.M. Focus on Nursing Pharmacology, 5th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2011, Chapter 10: Antiviral Agents, p. 140. Question 2: (see full question) A nurse is caring for a client diagnosed with HIV. The client wants to know when they will be started on medication for their disease. What would be the nurse’s best response? You selected: if the client is diagnosed with HIV-associated liver disease Incorrect Correct response: if the client has a CD4 T-cell count less than 350 cells/mm3 Explanation: The current guideline is to initiate treatment if the client develops an AIDS-defining illness or has a CD4 T-cell count less than 350 cells/mm3. Antiretroviral drug therapy is also ... (more) Question 3: (see full question) A patient with AIDS is being prepared for discharge. The nurse caring for the patient with AIDS knows the patient receives Agenerase. What dietary counseling will the nurse provide based upon the patient’s medication regimen? You selected: Limit sodium intake to 2 grams per day. Incorrect Correct response: Avoid high-fat meals while taking this medication Explanation: Patients taking the protease inhibitor Amprenavir (APV) or Agenerase should be advised to avoid high-fat meals. High-fat meals decrease the blood concentration of this drug by 21%. ... (more) Question 4: (see full question) Which statement reflects the treatment of HIV infection? You selected: Treatment should be offered to only selected clients once they reach CDC category B - HIV symptomatic Incorrect Correct response: Treatment of HIV infection for an individual client is based on the clinical condition of the client, CD4 T cell count level, and HIV RNA (viral load). Explanation: Although specific therapies vary, treatment of HIV infection for an individual client is based on three factors: the clinical condition of the client, CD4 T cell count level, and H ... (more) Question 5: (see full question) A nurse is caring for a client who is taking acyclovir. What is likely to be a priority nursing diagnoses for this client? You selected: Imbalanced Nutrition: More than body requirements related to drug adverse effects Incorrect Correct response: Imbalanced Nutrition: Less than body requirements related to drug adverse effects Explanation: Common adverse effects of acyclovir and other antiviral drugs include anorexia, nausea, and vomiting, all of which can interfere with the ckient's nutritional intake. Reference: Karch, A.M. Focus on Nursing Pharmacology, 6th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013, Chapter 10: Antiviral Agents, pp. 144-145. Karch, A.M. Focus on Nursing Pharmacology, 5th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2011, Chapter 10: Antiviral Agents, p. 150. Question 6: (see full question) An elderly patient is admitted to the medical floor with a fever, cough, sore throat, and stuffy nose. What virus should the nurse suspect this patient to have? You selected: Influenza Correct Explanation: Influenza is commonly called the "flu" and is an acute respiratory illness. Symptoms include fever, runny nose, cough, sore throat, and stuffy nose. CMV frequently has no symptoms ... (more) Reference: Karch, A.M. Focus on Nursing Pharmacology, 6th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013, Chapter 10: Antiviral Agents, pp. 138-139. Karch, A.M. Focus on Nursing Pharmacology, 5th ed., Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2011, Chapter 10: Antiviral Agents, p. 135. Question 7: (see full question) A nurse is assessing a 66-year-old man who is HIV-positive. The patient has been prescribed didanosine (Videx). It would be most important to question the patient about which of the following? You selected: High-calorie diet Incorrect Correct response: Alcohol use Explanation: Even though it is important for the nurse to assess the patient's diet, activity level, and fluid intake, it is most important to assess the patient's use of alcohol. Two potential ... (more) Question 8: (see full question) The nurse is teaching a client with HIV about his new antiviral drug regimen. Which client statement would suggest that the teaching plan was effective? You selected: "I will have to remain on this drug regimen until I have been cured." Incorrect Correct response: "I should expect some nausea and vomiting." [Show More]

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