Deck 33: Antivirals, Antimalarials, and Anthelmintics

Question 1

A patient who has travelled to an area with prevalent malaria has chills,fever,and diaphoresis.The nurse recognizes this as which phase of malarial infection?

A)Erythrocytic phase
B)Incubation phase
C)Prodromal phase
D)Tissue phase

Answer 1

Erythrocytic phase

Question 2

A patient calls the clinic in November to report a temperature of 103° F,headache,a nonproductive cough,and muscle aches.The patient reports feeling well earlier that day.The nurse will schedule the patient to see the provider and will expect the provider to order which medication?

A)Amantadine HCl (Symmetrel)
B)Influenza vaccine
C)Rimantadine HCl (Flumadine)
D)An over-the-counter drug for symptomatic treatment

Answer 2

Rimantadine HCl (Flumadine)

Question 3

The nurse is teaching a patient who will receive acyclovir for a herpes virus infection.What information will the nurse include when teaching this patient?

A)Blood cell counts should be monitored closely.
B)Dizziness and confusion are harmless side effects.
C)Increase fluid intake while taking this medication.
D)Side effects are rare with this medication.

Answer 3

Increase fluid intake while taking this medication.

Question 4

The nurse is caring for an infant who has respiratory syncytial virus (RSV)and who will receive ribavirin.The nurse expects to administer this drug by which route?

A)Inhalation
B)Intramuscular
C)Intravenous
D)Oral

Question 5

A patient who is taking acyclovir (Zovirax)to treat an oral HSV-1 infection asks the nurse why oral care is so important.The nurse will tell the patient that meticulous oral care helps to

A)minimize transmission of disease.
B)prevent gingival hyperplasia.
C)reduce viral resistance to the drug.
D)shorten the duration of drug therapy.

Question 6

A child is diagnosed with pinworms.Which anthelmintic drug will the provider order for this child?

A)Bithionol (Bitin)
B)Diethylcarbamazine (Hetrazan)
C)Mebendazole (Vermox)
D)Praziquantel (Biltricide)

Question 7

The nurse is teaching a patient who is receiving chloroquine (Aralen)for malaria prophylaxis.Which statement by the patient indicates a need for further teaching?

A)"I may experience hair discoloration while taking this drug."
B)"I should not take this drug with lemon juice."
C)"I should use sunscreen while taking this drug."
D)"If I have gastrointestinal upset,I should take an antacid."

Question 8

The nurse receives an order to administer a purine nucleoside antiviral medication.The nurse understands that this medication treats which type of virus?

A)Hepatitis virus
B)Herpes virus
C)HIV
D)Influenza virus

Question 9

The nurse receives the following order for a patient who is diagnosed with herpes zoster virus: PO acyclovir (Zovirax)400 mg TID for 7 to 10 days.The nurse will contact the provider to clarify which part of the order?

A)Dose and frequency
B)Frequency and duration
C)Drug and dose
D)Drug and duration

Question 10

Which diseases are caused by herpes viruses? (Select all that apply.)

A)Chicken pox
B)Hepatitis
C)Influenza
D)Mononucleosis
E) Shingles

Question 11

A patient is preparing to travel to a country with prevalent malaria.To prevent contracting the disease,the provider has ordered chloroquine HCl (Aralen).The nurse will instruct the patient to take this drug according to which schedule?

A)500 mg weekly beginning 2 weeks prior to travel and continuing for 6 to 8 weeks after travel
B)1000 mg weekly beginning 2 weeks prior to travel and continuing for 6 to 8 weeks after travel
C)500 mg once followed by 500 mg per dose in 6 hours,24 hours,and 48 hours
D)1000 mg once followed by 500 mg per dose in 6 hours,24 hours,and 48 hours

Question 12

A patient is diagnosed with influenza and will begin taking a neuraminidase inhibitor.The nurse knows that this drug is effective when taken within how many hours of onset of flu symptoms?

A)12 hours
B)24 hours
C)48 hours
D)72 hours

Question 13

A nurse whose last flu vaccine was 1 year prior is exposed to the influenza A virus.The occupational health nurse will administer which medication?

A)Acyclovir (Zovirax)
B)Amantadine HCl (Symmetrel)
C)Influenza vaccine
D)Oseltamivir phosphate (Tamiflu)

Question 14

A patient will take an anthelmintic medication and asks the nurse about side effects.The nurse will tell the patient that anthelmintic drugs

A)can cause hepatic toxicity.
B)cause orthostatic hypotension.
C)commonly have gastrointestinal (GI) side effects.
D)have many serious adverse reactions.

Question 15

The patient has been ordered treatment with rimantadine (Flumadine).The patient has renal impairment.The nurse anticipates what change to the dose of medication?

A)Increased
B)Decreased
C)Unchanged
D)Held

Question 16

A child is being treated for pinworms,and the parent asks the nurse how to prevent spreading this to other family members.What will the nurse tell the parent?

A)"Give your child baths every day."
B)"Obtain a daily stool specimen from your child."
C)"Wash your child's clothing in hot water."
D)"Your child should wash hands well after using the toilet."

Question 17

A patient is taking chloroquine (Aralen)to treat acute malaria.Which statement by the patient indicates understanding of this medication?

A)"I should abstain from alcohol while taking this medication."
B)"I should report urine output less than 1000 mL/day."
C)"I should report visual changes immediately."
D)"I should take this drug on an empty stomach."