Chapter 33: Antivirals, Antimalarials, and Anthelmintics

Chapter 33: Antivirals, Antimalarials, and Anthelmintics

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. 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

 

 

ANS:  C

Rimantadine is used for treatment of influenza. Amantadine is used primarily for prophylaxis, and this patient already has symptoms. The influenza vaccine may be given later to protect against other strains. Over-the-counter medications may be used as adjunct treatment.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 450

TOP:   NURSING PROCESS: Nursing Intervention

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. 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)

 

 

ANS:  B

The primary use for amantadine is prophylaxis against influenza A. Acyclovir is used to treat herpes virus. Oseltamivir phosphate (Tamiflu) is to be taken once flu symptoms appear.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 450

TOP:   NURSING PROCESS: Nursing Intervention

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. 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

 

 

ANS:  C

Neuraminidase inhibitors, such as zanamivir and oseltamivir, should be taken within 48 hours of onset of symptoms for best effect.

 

DIF:    COGNITIVE LEVEL: Remembering (Knowledge)           REF:   Page 450

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. 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

 

 

ANS:  B

Purine nucleosides, such as acyclovir, are used to treat herpes simplex viruses 1 and 2, herpes zoster virus, varicella-zoster virus, and cytomegalovirus.

 

DIF:    COGNITIVE LEVEL: Remembering (Knowledge)           REF:   Page 450

TOP:   NURSING PROCESS: Nursing Intervention

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies