Chapter 40: Antiviral Drugs

Chapter 40: Antiviral Drugs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient who is diagnosed with shingles is taking topical acyclovir, and the nurse is providing instructions about adverse effects. The nurse will discuss which adverse effects of topical acyclovir therapy?

a.	Insomnia and nervousness
b.	Temporary swelling and rash
c.	Burning when applied
d.	This medication has no adverse effects.

 

 

ANS:  C

Transient burning may occur with topical application of acyclovir. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 646

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

2. A patient who has undergone a lung transplant has contracted cytomegalovirus (CMV) retinitis. The nurse expects which drug to be ordered for this patient?

a.	Acyclovir (Zovirax)
b.	Ganciclovir (Cytovene)
c.	Ribavirin (Virazole)
d.	Amantadine (Symmetrel)

 

 

ANS:  B

Ganciclovir is indicated for the treatment of cytomegalovirus retinitis. Acyclovir is used for herpes simplex types 1 and 2, herpes zoster, and chickenpox; amantadine is used for influenza type A; and zanamivir is used for influenza types A and B.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 647

TOP:   NURSING PROCESS: Planning

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. An infant has been hospitalized with a severe lung infection caused by the respiratory syncytial virus (RSV) and will be receiving medication via the inhalation route. The nurse expects which drug to be used?

a.	Acyclovir (Zovirax)
b.	Ganciclovir (Cytovene)
c.	Amantadine (Symmetrel)
d.	Ribavirin (Virazole)

 

 

ANS:  D

The inhalational form of ribavirin (Virazole) is used primarily in the treatment of hospitalized infants with severe lower respiratory tract infections caused by RSV. The other drugs listed are not used for the treatment of RSV.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 648

TOP:   NURSING PROCESS: Planning

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. A patient who is HIV- positive has been receiving medication therapy that includes zidovudine (Retrovir). However, the prescriber has decided to stop the zidovudine because of its dose-limiting adverse effect. Which of these conditions is the dose-limiting adverse effect of zidovudine therapy?

a.	Retinitis
b.	Renal toxicity
c.	Hepatotoxicity
d.	Bone marrow suppression

 

 

ANS:  D

Bone marrow suppression is often the reason that a patient with HIV infection has to be switched to another anti-HIV drug such as didanosine. The two drugs can be taken together, cutting back on the dosages of both and thus decreasing the likelihood of toxicity. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 654

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies