Deck 33: Antivirals, Antimalarials, and Anthelmintics

Question 1

The client has been ordered treatment with Zovirax. The nurse should expect to see increased _____ in the client's laboratory levels.

A) liver enzymes
B) potassium
C) magnesium
D) blood urea nitrogen (BUN)

Answer 1

blood urea nitrogen (BUN)

Question 2

A nurse instructs a client that gastrointestinal (GI) upset is a common side effect of anthelmintics. To avoid GI distress, the client should take the anthelmintic:

A) between meals.
B) immediately after meals.
C) before breakfast and at bedtime.
D) before lunch without milk products.

Answer 2

immediately after meals.

Question 3

A client is diagnosed with the flu. The nurse is aware that in order to be effective, neuraminidase inhibitors should be taken within how many hours of onset of flu symptoms?

A) 24
B) 48
C) 72
D) 96

Answer 3

48

Question 4

The nurse assesses that the client is experiencing an adverse reaction to acyclovir (Zovirax) when the client exhibits which reaction?

A) Paralytic ileus
B) Liver failure
C) Leukopenia and thrombocytopenia
D) Gastric ulceration

Question 5

The client has been ordered treatment with Aralen. The nurse notes that the client's blood pressure has decreased from 130/80 to 104/60. What is the nurse's highest priority action?

A) Recognize that this is an expected side effect of the medication and monitor the client.
B) Call the physician; the client is experiencing an adverse reaction to the medication.
C) Recognize that this is a reaction to the dosage of the medication; call the pharmacist.
D) Call the physician; client is experiencing a life-threatening reaction to the medication.

Question 6

A nurse is monitoring for the side effects of acyclovir (Zovirax). The nurse anticipates that the client may experience what side effect?

A) Hepatotoxicity
B) High blood pressure
C) Increased intracranial pressure
D) Rash and pruritus

Question 7

The client is being treated with an antiviral drug. He complains to the nurse of experiencing red, swollen gums. The highest priority action on the part of the nurse is to advise the client to:

A) perform oral hygiene several times daily.
B) rinse his mouth with hydrogen peroxide.
C) avoid using dental floss during hygiene.
D) rinse his mouth with alcohol-based mouthwash.

Question 8

A nurse is providing instruction to a client who asked about ways to prevent drug-resistant malaria from occurring. The nurse should suggest:

A) the newest and most potent antimalarial drug.
B) a combination of antimalarial drugs.
C) the tetracycline group of antibiotics.
D) the antimalarial drug early after diagnosis of malaria.

Question 9

The client has been ordered treatment with Denavir. The client should be instructed to apply the cream every:

A) 8 hours around the clock.
B) 2 hours during the day.
C) 4 hours around the clock.
D) 6 hours during the day.

Question 10

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

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

Question 11

The client has been ordered treatment with Aralen. The nurse expect to see decreased _____ in the client.

A) serum glucose
B) potassium
C) hemoglobin and hematocrit
D) calcium

Question 12

A nurse is providing discharge instructions to a client who is taking an antiviral agent. Client teaching associated with antiviral drug therapy includes:

A) reporting an increase in urine output.
B) maintaining adequate fluid intake.
C) decreasing sexual relations with or without the use of a condom.
D) reporting any side effects such as sexual dysfunction, dyspnea, and flushing.

Question 13

The client has been ordered treatment with oral Zovirax at 9:00 AM. The nurse should expect the client's serum level of the medication to peak at which time?

A) 10:45 AM
B) 12:30 PM
C) 9:30 AM
D) 2:00 PM

Question 14

The client will need a prophylactic agent for herpes simplex. The nurse anticipates that the client will be ordered:

A) ciprofloxacin (Cipro).
B) fluconazole (Diflucan).
C) oral acyclovir (Zovirax).
D) pentazocine (Talwin).

Question 15

A client is ordered to receive acyclovir (Zovirax). The nurse is aware that acyclovir is effective against various viruses and has a short half-life. The medication dose should be taken _____ day.

A) once a
B) twice a
C) three or more times a
D) once every other

Question 16

What is the highest priority nursing intervention for clients taking anthelmintics?

A) Instruct the client that daily stool specimens must be collected.
B) Inform the client that the pathogens are spread via blood.
C) Instruct the client to take baths and not showers.
D) Alert the client to avoid operating a car or machinery due to drowsiness.