Question 1

A patient diagnosed with shingles is prescribed topical acyclovir (Zovirax).What important adverse effects should the nurse warn this patient about?

Accepted Answer

A) Insomnia and nervousness 
B) Temporary swelling and rash 
C) Burning of the skin 
D) No adverse effects 
A) Insomnia and nervousness 
B) Temporary swelling and rash 
C) Burning of the skin 
D) No adverse effects C

Question 2

The nurse is administering acyclovir (Zovirax).Which statement is true?

Accepted Answer

A) Intravenous (IV) infusions should be administered slowly, over at least 1 hour. 
B) IV infusions should be administered by rapid IV bolus. 
C) IV acyclovir is compatible with many other IV solutions. 
D) Oral fluids should be restricted while the client is taking IV acyclovir. 
A) Intravenous (IV) infusions should be administered slowly, over at least 1 hour. 
B) IV infusions should be administered by rapid IV bolus. 
C) IV acyclovir is compatible with many other IV solutions. 
D) Oral fluids should be restricted while the client is taking IV acyclovir. A

Question 3

Which drug belongs to the newer class of antiviral drugs called fusion inhibitors?

Accepted Answer

A) enfuvirtide (Fuzeon) 
B) tenofovir (Viread) 
C) nevirapine (Viramune) 
D) indinavir (Crixivan) 
A) enfuvirtide (Fuzeon) 
B) tenofovir (Viread) 
C) nevirapine (Viramune) 
D) indinavir (Crixivan) A

Question 4

A patient who is taking a combination of antiretroviral drugs as treatment of early stages of HIV infection asks the nurse whether the drugs will kill the virus.Which statement is the nurse's best response to this patient?

Accepted Answer

A) Antiretroviral drugs are rarely beneficial and are given for palliative reasons only. 
B) Antiretroviral drugs will be effective as long as the patient is not exposed to the virus again. 
C) Antiretroviral drugs can be given in large enough doses to eradicate the virus without harming the body's healthy cells. 
D) Antiretroviral drugs are effective only while the virus is replicating, and replication is often finished by the time symptoms appear. 
A) Antiretroviral drugs are rarely beneficial and are given for palliative reasons only. 
B) Antiretroviral drugs will be effective as long as the patient is not exposed to the virus again. 
C) Antiretroviral drugs can be given in large enough doses to eradicate the virus without harming the body's healthy cells. 
D) Antiretroviral drugs are effective only while the virus is replicating, and replication is often finished by the time symptoms appear.

Question 5

A patient diagnosed with genital herpes is taking topical acyclovir (Zovirax).What should the nurse say to the patient about this drug? (Select all that apply.)

Accepted Answer

A) "Be sure to wash your hands thoroughly before and after applying this medicine." 
B) "Apply this ointment until the lesion stops hurting." 
C) "Sterile gloves are required when applying this ointment." 
D) "Use a clean glove or finger cot when applying this ointment." 
E) "If your partner develops these lesions, then he can also use the medication."
F)"You need to avoid touching around your eyes."
G)"You will need to practice abstinence when these lesions are active."
H)"Ask your health care provider about getting a Pap smear every 6 months due to an increased risk for cervical cancer." 
A) "Be sure to wash your hands thoroughly before and after applying this medicine." 
B) "Apply this ointment until the lesion stops hurting." 
C) "Sterile gloves are required when applying this ointment." 
D) "Use a clean glove or finger cot when applying this ointment." 
E) "If your partner develops these lesions, then he can also use the medication."
F)"You need to avoid touching around your eyes."
G)"You will need to practice abstinence when these lesions are active."
H)"Ask your health care provider about getting a Pap smear every 6 months due to an increased risk for cervical cancer."

Question 6

Which is a true statement about amantadine (Dom-Amantidine)therapy?

Accepted Answer

A) It causes less central nervous system (CNS) toxicity than rimantadine. 
B) It is commonly used to treat influenza A and influenza B. 
C) It should not be given to women who are breastfeeding. 
D) It has a longer half-life than rimantadine and may be dosed less frequently. 
A) It causes less central nervous system (CNS) toxicity than rimantadine. 
B) It is commonly used to treat influenza A and influenza B. 
C) It should not be given to women who are breastfeeding. 
D) It has a longer half-life than rimantadine and may be dosed less frequently.

Question 7

Which is a common adverse effect of oseltamavir (Tamiflu)?

Accepted Answer

A) Diarrhea 
B) Sinusitis 
C) Nausea 
D) Constipation 
A) Diarrhea 
B) Sinusitis 
C) Nausea 
D) Constipation

Question 8

A patient with acquired immune deficiency syndrome (AIDS)has been taking zidovudine (AZT)therapy for almost 1 year.The physician has decided to change the medication to didanosine (Videx EC).The patient is very concerned about this medication change.What is the nurse's best explanation to the patient?

Accepted Answer

A) Didanosine has fewer toxic effects than zidovudine. 
B) Didanosine has been shown to improve survival rates. 
C) Taking the zidovudine with the didanosine might have led to serious toxicity. 
D) The patient may have been experiencing bone marrow suppression due to the zidovudine therapy. 
A) Didanosine has fewer toxic effects than zidovudine. 
B) Didanosine has been shown to improve survival rates. 
C) Taking the zidovudine with the didanosine might have led to serious toxicity. 
D) The patient may have been experiencing bone marrow suppression due to the zidovudine therapy.

Question 9

Which is a therapeutic effect of antiviral drugs?

Accepted Answer

A) Elimination of the virus 
B) Eradication of herpetic lesions 
C) Delayed progression of HIV infection 
D) Prevention of future infections with the same virus 
A) Elimination of the virus 
B) Eradication of herpetic lesions 
C) Delayed progression of HIV infection 
D) Prevention of future infections with the same virus

Question 10

A patient with late-stage AID)has developed Kaposi's sarcoma.What type of infection is Kaposi's sarcoma?

Accepted Answer

A) A drug-resistant infection 
B) An opportunistic infection 
C) A co-infection 
D) A superinfection 
A) A drug-resistant infection 
B) An opportunistic infection 
C) A co-infection 
D) A superinfection

Question 11

A young adult calls the clinic to ask for a prescription for "the flu drug." He says he has had "the flu" for almost 4 days and just heard about a drug that can reduce the symptoms.Which statement about oseltamivir (Tamiflu)and zanamivir (Relenza)is true?

Accepted Answer

A) These drugs do not stop the spread of influenza. 
B) These drugs have few adverse effects. 
C) As long as this patient starts treatment within the next 24 hours, the drug should be effective. 
D) Treatment with these drugs should begin within 2 days of the onset of influenza symptoms. 
A) These drugs do not stop the spread of influenza. 
B) These drugs have few adverse effects. 
C) As long as this patient starts treatment within the next 24 hours, the drug should be effective. 
D) Treatment with these drugs should begin within 2 days of the onset of influenza symptoms.

Question 12

A patient who has had a bone marrow transplant has contracted cytomegalovirus (CMV)retinitis.Which drug is preferable for this patient?

Accepted Answer

A) acyclovir (Zovirax) 
B) foscarnet (Foscavir) 
C) ganciclovir (Cytovene) 
D) amantadine (Dom-Amantidine) 
A) acyclovir (Zovirax) 
B) foscarnet (Foscavir) 
C) ganciclovir (Cytovene) 
D) amantadine (Dom-Amantidine)

Exam 45: Antiviral Drugs

A patient diagnosed with shingles is prescribed topical acyclovir (Zovirax).What important adverse effects should the nurse warn this patient about?

The nurse is administering acyclovir (Zovirax).Which statement is true?

Which drug belongs to the newer class of antiviral drugs called fusion inhibitors?

A patient who is taking a combination of antiretroviral drugs as treatment of early stages of HIV infection asks the nurse whether the drugs will kill the virus.Which statement is the nurse's best response to this patient?

A patient diagnosed with genital herpes is taking topical acyclovir (Zovirax).What should the nurse say to the patient about this drug? (Select all that apply.)

Which is a true statement about amantadine (Dom-Amantidine)therapy?

Which is a common adverse effect of oseltamavir (Tamiflu)?

Which is a therapeutic effect of antiviral drugs?

A patient with late-stage AID)has developed Kaposi's sarcoma.What type of infection is Kaposi's sarcoma?

A young adult calls the clinic to ask for a prescription for "the flu drug." He says he has had "the flu" for almost 4 days and just heard about a drug that can reduce the symptoms.Which statement about oseltamivir (Tamiflu)and zanamivir (Relenza)is true?

A patient who has had a bone marrow transplant has contracted cytomegalovirus (CMV)retinitis.Which drug is preferable for this patient?

Nursing Practice in Canada and Drug Therapy

Pharmacological Principles

Legal and Ethical Considerations

Patient Focused Considerations

Gene Therapy and Pharmacogenomics

Medication Errors: Preventing and Responding

Patient Education and Drug Therapy

Over-the-Counter Drugs and Natural Health Products

Vitamins and Minerals

Principles of Drug Administration

Analgesic Drugs

General and Local Anaesthetics

Central Nervous System Depressants and Muscle Relaxants

Central Nervous System Stimulants and Related Drugs

Antiepileptic Drugs

Antiparkinsonian Drugs

Psychotherapeutic Drugs

Substance Misuse

Adrenergic Drugs

Adrenergic-Blocking Drugs

Cholinergic Drugs

Cholinergic-Blocking Drugs

Antihypertensive Drugs

Antianginal Drugs

Heart Failure Drugs

Antidysrhythmic Drugs

Coagulation Modifier Drugs

Antilipemic Drugs

Diuretic Drugs

Fluids and Electrolytes

Pituitary Drugs

Thyroid and Antithyroid Drugs

Antidiabetic Drugs

Adrenal Drugs

Women’s Health Drugs

Men’s Health Drugs

Antihistamines,Decongestants,Antitussives,and Expectorants

Respiratory Drugs

Acid-Controlling Drugs

Antidiarrheal Drugs and Laxatives

Antiemetic and Anti-nausea Drugs

Nutritional Supplements

Antibiotics, Part 1: Sulfonamides, Penicillins, Cephalosporins, Macrolides, and Tetracyclines

Antibiotics Part 2: Aminoglycosides, Fluoroquinolones, and Other Drugs

Antitubercular Drugs

Antifungal Drugs

Antimalarial, Antiprotozoal, and Anthelmintic Drugs

Anti-Inflammatory and Antigout Drugs

Immunosuppressant Drugs

Immunizing Drugs and Pandemic Preparedness

Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs

Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific and Miscellaneous Drugs

Biological Response–Modifying Drugs

Anemia Drugs

Dermatological Drugs

Ophthalmic Drugs

Otic Drugs

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