Nokea
A nurse is preparing a teaching plan for a client who is receiving antiviral therapy. Which of the following would the nurse include? Select all that apply.
- A. Only notify your physician if an allergic reaction to the antiviral drug occurs.
- B. These drugs are not a cure for the viral infection, but they will shorten the course of disease.
- C. Mark a calendar to designate the days the drug is to be taken so that you can keep to the ordered alternate-dosage schedule.
- D. These drugs will help in preventing the spread of the infection to those around you.
- E. Take precautions when you're outside because you might experience a sunburn reaction.
Correct Answer: B,C,E
Rationale: The nurse's teaching plan for antiviral drugs should include educating the client and family that antiviral drugs are not a cure for viral infection but will shorten the course of disease; that antiviral drugs will not prevent the spread of disease to others; that some antiviral drugs cause photosensitivity, so precaution should be taken when going outdoors; that a calendar should be marked to designate the days the drug is to be taken for clients on an alternate-dosage schedule; and that the physician should be notified if burning, stinging, itching, or rash worsens or becomes pronounced.
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A patient with skin lesions due to a viral infection has been prescribed a topical antiviral agent. When teaching the patient about this therapy, which of the following would the nurse emphasize?
- A. The drug will not prevent the spread of the disease to others.
- B. Topical drugs should be applied using the hand, not a finger cot or gloves.
- C. All lesions should be left open and not covered in any way.
- D. Sexual contact when lesions are present is permissible if barrier methods are used.
- E. Apply the drug twice daily for best results
Correct Answer: A
Rationale: The nurse should inform the patient that application of the drug does not prevent the spread of the disease to others. Topical drugs should be applied with a finger cot or gloves but not with bare hands. The nurse should instruct the patient to cover all lesions and not leave them open. The nurse should also stress the importance of avoiding sexual contact when lesions are present irrespective of contraceptive measures. The frequency of application depends on the specific drug prescribed.
A nurse is providing care to a client with a sulfonamide allergy. The nurse would expect to administer which of the following cautiously if prescribed? Select all that apply.
- A. Maraviroc (Selzentry)
- B. Lamivudine (Epivir)
- C. Fosamprenavir (Lexiva)
- D. Ritonavir (Norvir)
- E. Amprenavir (Agenerase)
Correct Answer: C,E
Rationale: If a client has a sulfonamide allergy, the antiretroviral drugs fosamprenavir and amprenavir should be used cautiously.
The nurse is preparing to administer an antiviral drug to a client. Which of the following would the nurse include in the preadministration assessment? Select all that apply.
- A. Client's general state of health
- B. Blood glucose levels
- C. Resistance to infection
- D. Electrocardiogram findings
- E. Vital signs
Correct Answer: A,C,E
Rationale: The nurse's preadministration assessment of the client prior to administration of antiviral drugs should include determination of the client's general state of health and resistance to infection, record of client's symptoms and complaints, and record of vital signs. Blood glucose levels and electrocardiogram findings are not needed.
A patient is being discharged from a health care facility but is required to continue antiviral therapy at home. Which of the following points should the nurse include in the teaching plan to educate the patient?
- A. A slight elevation in temperature is normal and needn't be reported.
- B. Double the dosage of the drug if you miss a dose.
- C. Stop taking the drug as soon as the symptoms of the infection disappear.
- D. Make sure to notify your primary health care provider if you develop any adverse reactions.
- E. Take the drug with food to reduce stomach upset
Correct Answer: D
Rationale: The nurse should instruct the patient to report adverse reactions to the primary health care provider. The nurse should also tell the patient to report any increase in temperature, even if it is a slight increase. If the patient misses a dose, the next dose should be taken as soon as remembered, but it should not be doubled. The nurse should also instruct the patient to take the drug exactly as directed for the full course of therapy, even if the symptoms of the infection disappear. Taking the drug with food is not a general requirement for all antivirals but may apply to specific drugs.
A nurse is reviewing information about cidofovir in preparation for administration. The nurse understands that which of the following are true? Select all that apply.
- A. It should not be given to clients who have renal impairment.
- B. The drug should not be given to clients receiving aminoglycosides.
- C. Cidofovir is used in the treatment of cytomegalovirus retinitis.
- D. It is administered by placing one drop in both eyes twice daily.
- E. The drug should not be given with HMG-CoA reductase inhibitors.
Correct Answer: A,B,C
Rationale: Cidofovir should not be given to clients who have renal impairment or who are receiving other nephrotoxic drugs, such as aminoglycosides. The drug is used to treat cytomegalovirus retinitis and is administered IV.