CH 37 xtra

Question 1

14) Which describes a major characteristic of viruses?
1. Extracellular parasites
2. Intracellular parasites
3. Extracellular bacterial in nature
4. Intracellular bacterial in nature

Answer 1

2. Intracellular parasites

Question 2

19) Which describes the primary purpose of the use of pharmacotherapy to treat herpes viruses?
Select all that apply.
1. Decreases the frequency of herpes episodes
2. Decreases the risk of secondary infections
3. Inactivates the herpes virus
4. Diminishes the intensity of the acute disease
5. Decreases the risk of spreading the infection

Answer 2

1. Decreases the frequency of herpes episodes

4. Diminishes the intensity of the acute disease

Question 3

17) Which laboratory test is used to evaluate the degree of damage to the immune system caused by HIV?
1. Platelets
2. Liver function studies
3. CD4 T-cell count
4. Complete blood count

Answer 3

3. CD4 T-cell count

Question 4

21) For a client receiving zidovudine (Retrovir), for which adverse reactions should the nurse increase surveillance?
Select all that apply.
1. Fatigue and generalized weakness
2. New onset headache
3. Constipation
4. Edema
5. Liver palpable on physical examination

Answer 4

1. Fatigue and generalized weakness
2. New onset headache
3. Liver palpable on physical examination

Question 5

5) The nurse has completed the teaching for a client with HIV prescribed zidovudine (Retrovir). Which statement made by the client indicates further teaching is required?
1. “Zidovudine (Retrovir) will need to be stopped if bone marrow depression occurs.”
2. “Zidovudine (Retrovir) will slow the disease, but not cure it.”
3. “Zidovudine (Retrovir) prevents spread of the virus through sexual contact.”
4. “Zidovudine (Retrovir) therapy frequently results in the development of anemia.”

Answer 5

3. “Zidovudine (Retrovir) prevents spread of the virus through sexual contact.”

Question 6

8) A client has just been prescribed highly active antiretroviral therapy (HAART) for the treatment of AIDS. Which teaching point is a priority for this client?
1. Medications must be taken for 3 years after viral load is not measurable.
2. The goal of highly active antiretroviral therapy (HAART) is to reduce plasma human immunodeficiency virus (HIV) ribonucleic acid (RNA) to the lowest possible level.
3. Taking medications as scheduled is vital to successful treatment.
4. Know which medications target which phases of the HIV replication cycle.

Answer 6

3. Taking medications as scheduled is vital to successful treatment.

Question 7

3) Which adverse effects should the nurse monitor for in a client receiving acyclovir (Zovirax)?
1. Auditory and visual hallucinations
2. Increased serum creatinine
3. Respiratory distress
4. Thrombocytopenia

Answer 7

2. Increased serum creatinine

Question 8

4) Which outcome should the nurse anticipate for a client with herpes receiving acyclovir (Zovirax)?
1. Absence of a reoccurrence of infection in the affected area.
2. Identification of the names of the client’s sexual contacts in the past month.
3. Report of decreased pain using the approved pain scale.
4. Report of a decrease in the number of lesions in the affected area.

Answer 8

3. Report of decreased pain using the approved pain scale.

Question 9

23) Which information should the nurse include in the client teaching about pharmacotherapy for influenza?
1. Antiviral prescriptions can increase resistance to other strains of the flu.
2. Antiviral prescriptions should be administered within 72 hours of flu symptoms occurring.
3. Antiviral prescriptions decrease the risk of transmission of the flu.
4. Antiviral prescriptions can be used to treat active influenza infections.

Answer 9

4. Antiviral prescriptions can be used to treat active influenza infections.