Lehne's Pharmacology for Nursing Care 9th Edition by Jacqueline Burchum
Lehne's Pharmacology for Nursing Care 9th Edition by Jacqueline Burchum
$2.99
Chapter 94: Antiviral Agents II: Drugs for HIV Infection and Related Opportunistic Infections
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “I may experience fatigue from anemia.” |
| b. | “I may be more susceptible to infection from neutropenia.” |
| c. | “I may have a deficiency of vitamin B6.” |
| d. | “I may have a deficiency of folic acid.” |
ANS: C
A deficiency of vitamin B12, not vitamin B6, would be expected; this statement indicates that further teaching is required. With high-dose zidovudine, the patient can expect anemia, neutropenia, and folic acid deficiency.
PTS: 1 DIF: Cognitive Level: Analysis REF: pp. 1128-1129
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
| a. | Ketones in the urine and blood |
| b. | Serum immunoglobulin levels |
| c. | Serum lactate dehydrogenase |
| d. | Complete blood count (CBC) |
ANS: D
The nurse should monitor the patient’s CBC to determine whether the patient has anemia and neutropenia. Ketones are not an adverse effect of zidovudine. Nothing indicates a need to monitor the immunoglobulin levels or serum lactate dehydrogenase.
PTS: 1 DIF: Cognitive Level: Application REF: pp. 1128-1129
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
| a. | Increased serum amylase and triglycerides and decreased serum calcium |
| b. | Decreased serum amylase and serum triglycerides and increased serum calcium |
| c. | Decreased hemoglobin and hematocrit |
| d. | Increased serum amylase, decreased triglycerides, and increased platelets |
ANS: A
The nurse should be concerned about increased serum amylase triglycerides and a decreased serum calcium, which are symptoms of pancreatitis, the major adverse effect of didanosine. The other laboratory test results and assessment findings are not consistent with pancreatitis and are not a concern for the nurse.
PTS: 1 DIF: Cognitive Level: Application REF: pp. 1132-1133
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
| a. | The numbness is an expected side effect of the medication and will diminish once the drug is withdrawn. |
| b. | The medication will probably be stopped, and the patient should come into the clinic for further evaluation. |
| c. | The dose may be too high, and the patient should cut the tablet in half. |
| d. | The patient should take the medication on a full stomach to reduce absorption of the drug. |
ANS: B
The patient has early signs and symptoms of neuropathy, which may resolve if the drug is stopped. The patient should be taught early in treatment to report these symptoms immediately. Numbness is not an expected side effect and these symptoms may diminish once the drug is withdrawn. The patient should never be advised to cut the dose in half unless instructed to do so by a prescriber. Taking the medication on a full stomach will not affect the amount of medication absorbed.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 1133
TOP: Nursing Process: Implementation
MSC: NCLEX Client Needs Category: Physiologic Integrity: Pharmacologic and Parenteral Therapies
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