Adams4e Tif Ch36

Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E Chapter 36
Question 1 Type: MCMA The nurse educates clients with acquired immune deficiency syndrome (AIDS) about the nature of viruses. The nurse evaluates that learnin has occurred when the clients ma!e which res"onses# Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that a""ly. 1. $%iruses are nonlivin "articles.$ 2. $The structure of viruses is com"le&.$ 3. $%iruses can infect "lants as well as animals.$ 4. $A virion is a mature virus.$ . $%iruses are intracellular "arasites.$ Corre!t Ans"er: '()(*(+ #ationa$e 1, %iruses are nonlivin a ents that infect bacteria( "lants( and animals. #ationa$e 2, The structure of viruses is quite "rimitive com"ared to the sim"lest cell. #ationa$e 3, %iruses can infect "lants as well as animals. #ationa$e 4, A mature infective "article is called a virion. #ationa$e , %iruses must use intracellular machinery to re"licate( so they are called intracellular "arasites. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy-in C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .hysiolo ical Ada"tation *ursin'/+nte'rated Con!epts: /ursin .rocess, 0valuation )earnin' ,ut!ome: )12' Question 2 Type: MCSA
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, *30 Co"yri ht 45'* by .earson 0ducation( Inc.
The client as!s the nurse why there aren6t better dru s for human immunodeficiency virus (7I%) infection when so much money is s"ent on research. 8hat is the best res"onse by the nurse# 1. $Develo"in new dru s is difficult because we still do not have enou h money.$ 2. $Develo"in new dru s is difficult because the virus mutates so readily.$ 3. $Develo"in new dru s is difficult because "eo"le thin! acquired immune deficiency syndrome (AIDS) is a 9 ay: disease.$ 4. $Develo"in new dru s is difficult because we still do not understand the virus.$ Corre!t Ans"er: 4 #ationa$e 1, More money is s"ent on human immunodeficiency virus (7I%) infection research than ;ust about any other illness. #ationa$e 2, Antiviral "harmacothera"y can be e&tremely challen in because of the ra"id mutation rate of viruses( which can quic!ly render dru s ineffective. #ationa$e 3, Most "eo"le reco ni-e human immunodeficiency virus (7I%) infection as a heterose&ual( not homose&ual( disease. #ationa$e 4, After more than 45 years of research( the virus is mostly understood. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy-in C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .hysiolo ical Ada"tation *ursin'/+nte'rated Con!epts: /ursin .rocess, Im"lementation )earnin' ,ut!ome: )124 Question 3 Type: MCSA The client receives acyclovir (<ovira&) for treatment of enital her"es. 8hat is a "riority assessment by the nurse# 1. Auditory and visual hallucinations 2. Increased serum creatinine 3. =es"iratory distress 4. Thrombocyto"enia Corre!t Ans"er: 4
#ationa$e 1, >idney failure( not auditory and visual hallucinations( is an adverse effect of acyclovir (<ovira&). #ationa$e 2, Acyclovir (<ovira&) is ne"hroto&ic( so serum creatinine should be monitored. #ationa$e 3, >idney failure( not res"iratory distress( is an adverse effect of acyclovir (<ovira&). #ationa$e 4, >idney failure( not bone marrow su""ression( is an adverse effect of acyclovir (<ovira&). %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy-in C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .harmacolo ical and .arenteral Thera"ies *ursin'/+nte'rated Con!epts: /ursin .rocess, Assessment )earnin' ,ut!ome: )121 Question 4 Type: MCSA The client receives acyclovir (<ovira&) as treatment for her"es sim"le& ty"e ' virus ( enital her"es). 8hat is the best( e&"ected outcome for this client# 1. The client will "revent a reoccurrence of infection in the affected area. 2. The client will identify the names of se&ual contacts in the "ast month. 3. The client will re"ort decreased "ain usin the a""roved "ain scale. 4. The client will re"ort a decrease in the number of lesions in the affected area. Corre!t Ans"er: ) #ationa$e 1, .ain is a ma;or "roblem associated with this infection? the best outcome is decreased "ain. #ationa$e 2, It is not necessary to "rovide the names of se&ual contacts( and this is not related to acyclovir (<ovira&). #ationa$e 3, .ain is a ma;or "roblem associated with this infection? the best outcome is decreased "ain. #ationa$e 4, Decrease in lesions is not an outcome oal of treatment with acyclovir (<ovira&). %$o&a$ #ationa$e: Co'niti(e )e(e$: A""lyin C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .harmacolo ical and .arenteral Thera"ies *ursin'/+nte'rated Con!epts: /ursin .rocess, .lannin
)earnin' ,ut!ome: )121 Question Type: MCMA The nurse "lans to teach a client with human immunodeficiency virus (7I%) infection about -idovudine (=etrovir). 8hat will the best "lan by the nurse include#. Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that a""ly. 1. <idovudine (=etrovir) will need to be sto""ed if bone marrow de"ression occurs. 2. <idovudine (=etrovir) will slow the disease( but not cure it. 3. <idovudine (=etrovir) "revents s"read of the virus throu h se&ual contact. 4. <idovudine (=etrovir) was the first dru develo"ed to treat acquired immune deficiency syndrome (AIDS). . <idovudine (=etrovir) thera"y frequently results in the develo"ment of anemia. Corre!t Ans"er: '(4(*(+ #ationa$e 1, Sto""in -idovudine (=etrovir) if bone marrow de"ression occurs allows the bone marrow time to recover. #ationa$e 2, The dru only slows the disease? it will not cure it. #ationa$e 3, <idovudine (=etrovir) will slow the "ro ression of the disease? it will not "revent its transmission. #ationa$e 4, <idovudine (=etrovir) was the first dru develo"ed to treat AIDS. #ationa$e , Treatment with -idovudine (=etrovir) frequently results in anemia. %$o&a$ #ationa$e: Co'niti(e )e(e$: A""lyin C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .harmacolo ical and .arenteral Thera"ies *ursin'/+nte'rated Con!epts: /ursin .rocess, .lannin )earnin' ,ut!ome: )121 Question 6 Type: MCSA
The nurse "rovides care for clients with acquired immune deficiency syndrome (AIDS). 8hich laboratory test is the best indicator of effective treatment with antiviral medications# 1. CD* count 2. %iral load 3. T* lym"hocyte count 4. Absolute neutro"hil count Corre!t Ans"er: 4 #ationa$e 1, The viral load( not a CD* count( is the best test. #ationa$e 2, The viral load is an actual count of viral "resence( and is the best test. #ationa$e 3, The viral load( not a T* lym"hocyte count( is the best test. #ationa$e 4, The viral load( not an absolute neutro"hil count( is the best test. %$o&a$ #ationa$e: Co'niti(e )e(e$: A""lyin C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .hysiolo ical Ada"tation *ursin'/+nte'rated Con!epts: /ursin .rocess, 0valuation )earnin' ,ut!ome: )12) Question Type: MCSA The nurse teaches clients with acquired immune deficiency syndrome (AIDS) about the im"ortance of ta!in their medications as "rescribed. 8hat does the nurse reco ni-e as the "rimary factor for medication noncom"liance in the acquired immune deficiency syndrome (AIDS) "o"ulation# 1. The necessity of havin to ta!e multi"le medications throu hout the day 2. A lac! of understandin for the reason to ta!e the medications 3. The wei ht ain associated with the medications 4. The difficulty with availability of medications to treat acquired immune deficiency syndrome (AIDS) Corre!t Ans"er: '
#ationa$e 1, Multi"le medications are required throu hout the day. The hi her the number of medications ta!en daily equates with a hi her noncom"liance rate. #ationa$e 2, A lac! of understandin could be a factor( but it is the schedule of ta!in multi"le dru s that leads to noncom"liance. #ationa$e 3, Some medications may cause wei ht ain( but this is not a "rimary reason for noncom"liance. #ationa$e 4, Medications are enerally available for clients with acquired immune deficiency syndrome (AIDS) today. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy-in C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .harmacolo ical and .arenteral Thera"ies *ursin'/+nte'rated Con!epts: /ursin .rocess, 0valuation )earnin' ,ut!ome: )12) Question . Type: MCSA The client has ;ust be un hi hly active antiretroviral thera"y (7AA=T) for the treatment of acquired immune deficiency syndrome (AIDS). 8hich teachin "oint is a "riority for this client# 1. Medications must be ta!en for ) years after viral load is not measurable. 2. The oal of hi hly active antiretroviral thera"y (7AA=T) is to reduce "lasma human immunodeficiency virus (7I%) ribonucleic acid (=/A) to the lowest "ossible level. 3. Ta!in medications as scheduled is vital to successful treatment. 4. >now which medications tar et which "hases of the human immunodeficiency virus (7I%) re"lication cycle. Corre!t Ans"er: ) #ationa$e 1, Medications must be continued for the lifetime of the client. #ationa$e 2, The oal of hi hly active antiretroviral thera"y (7AA=T) is to reduce "lasma human immunodeficiency virus (7I%)( but this is not as im"ortant as medication com"liance. #ationa$e 3, Ta!in medicines( as scheduled( is vital to maintain adequate treatment and "revent resistance to the medication. #ationa$e 4, The client may be interested in !nowin which medications tar et which "hases of the human immunodeficiency virus (7I%) ribonucleic acid (=/A) re"roduction cycle( but this is not as im"ortant as medication com"liance.
%$o&a$ #ationa$e: Co'niti(e )e(e$: A""lyin C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .harmacolo ical and .arenteral Thera"ies *ursin'/+nte'rated Con!epts: /ursin .rocess, Im"lementation )earnin' ,ut!ome: )12* Question / Type: MCSA The client with acquired immune deficiency syndrome (AIDS) as!s the nurse why he must ta!e so many medications. 8hat is the best res"onse by the nurse# 1. $To decrease the "ossibility of the virus develo"in resistance to the medications.$ 2. $=esearch has shown sin le medications to be ineffective.$ 3. $@ecause the earlier we start multi"le medications( the better for you.$ 4. $To "rovide you with the most effective treatment for your illness.$ Corre!t Ans"er: ' #ationa$e 1, Decreasin the "ossibility of resistance is the !ey? sin le dru s can be effective( but viral resistance is a "roblem. #ationa$e 2, Multi"le medications will "rovide the best treatment( but this is not as ood an answer as avoidin dru resistance. #ationa$e 3, It is debatable if multi"le dru s should be used early in the course of the disease. #ationa$e 4, Sin le medications can be effective( but dru resistance is more li!ely the reason. %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy-in C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .harmacolo ical and .arenteral Thera"ies *ursin'/+nte'rated Con!epts: /ursin .rocess, Im"lementation )earnin' ,ut!ome: )12* Question 10 Type: MCSA
The nurse does health teachin with a client who has acquired immune deficiency syndrome (AIDS) and who has been started on antiviral medications. The nurse reco ni-es that teachin has been effective when the client ma!es which statement# 1. $I will need to limit my travel to avoid "eo"le with other infections.$ 2. $I will need to be on a hi h2calorie diet to enhance the effect of the medication.$ 3. $I will still need to ta!e "recautions to avoid s"readin the virus to others.$ 4. $I will not be able to continue wor!in at my hi h2stress ;ob anymore.$ Corre!t Ans"er: ) #ationa$e 1, There is no need to limit travel at this "oint. #ationa$e 2, A well2balanced diet is the best diet for a client with acquired immune deficiency syndrome (AIDS). #ationa$e 3, .recautions are still necessary to avoid s"readin the virus to others. #ationa$e 4, A hi h2stress ;ob is not ideal( but at this "oint the client doesn6t need to sto" wor!in . %$o&a$ #ationa$e: Co'niti(e )e(e$: A""lyin C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .harmacolo ical and .arenteral Thera"ies *ursin'/+nte'rated Con!epts: /ursin .rocess, 0valuation )earnin' ,ut!ome: )12+ Question 11 Type: MCSA The client has acquired immune deficiency syndrome (AIDS) and has ;ust learned she is "re nant. She tearfully as!s the nurse if her baby will die of acquired immune deficiency syndrome (AIDS). 8hat is the best outcome for this client# 1. The client will ta!e "enciclovir (Denavir) as "rescribed. 2. The client will ta!e ti"ranavir (A"tivus) as "rescribed. 3. The client will ta!e -idovudine (=etrovir) as "rescribed. 4. The client will ta!e indinavir (Cri&ivan) as "rescribed. Corre!t Ans"er: )
#ationa$e 1, .enciclovir (Denavir) is a to"ical medication used to treat her"es viruses #ationa$e 2, Ti"ranavir (A"tivus) is an eyedro" used to treat her"es infection. #ationa$e 3, A re ime of oral -idovudine (=etrovir) will decrease the "ossibility of mother2to2baby transmission by A5B. #ationa$e 4, <idovudine (=etrovir)( not indinavir (Cri&ivan)( will decrease the "ossibility of mother2to2baby transmission by A5B. %$o&a$ #ationa$e: Co'niti(e )e(e$: A""lyin C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .harmacolo ical and .arenteral Thera"ies *ursin'/+nte'rated Con!epts: /ursin .rocess, .lannin )earnin' ,ut!ome: )12A Question 12 Type: MCSA The nurse accidentally stic!s herself with a needle after startin an intravenous (I%) line on a client with acquired immune deficiency syndrome (AIDS). The nurse tells the su"ervisor about the accident. 8hat is the best initial res"onse by the su"ervisor to decrease an&iety in the nurse# 1. $If you are started on medications soon( it will decrease the severity of the disease.$ 2. $8or!ers com"ensation will cover the cost of your illness and medications.$ 3. $Did you use the hos"ital "rotocols for startin intravenous (I%) lines on a client with acquired immune deficiency syndrome (AIDS)#$ 4. $Cortunately( the chances of you contractin human immunodeficiency virus (7I%) after the stic! are very small.$ Corre!t Ans"er: * #ationa$e 1, The ris! of transmission of human immunodeficiency virus (7I%) from client2to2health care wor!er is very small( and tellin the nurse to start on medication will not reduce an&iety. #ationa$e 2, If the nurse did contract human immunodeficiency virus (7I%)( wor!ers com"ensation would cover the cost( but the ris! of human immunodeficiency virus (7I%) transmission is small and this res"onse will not reduce an&iety. #ationa$e 3, As!in the nurse if she used "rotocols is very non2thera"eutic at this "oint( and will most li!ely increase an&iety.
#ationa$e 4, There have been only about +1 cases of client2to2health care wor!er transmission? the ris! is very small. %$o&a$ #ationa$e: Co'niti(e )e(e$: A""lyin C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .hysiolo ical Ada"tation *ursin'/+nte'rated Con!epts: /ursin .rocess, Im"lementation )earnin' ,ut!ome: )12+ Question 13 Type: MCSA The client receives efaviren- (Sustiva) as treatment for acquired immune deficiency syndrome (AIDS). The nurse assesses the client for which serious adverse effect# 1. Cardiac arrest 2. =ash 3. @one marrow su""ression 4. Sei-ures Corre!t Ans"er: 4 #ationa$e 1, Cardiac arrest is not an e&"ected adverse effect of efaviren- (Sustiva). #ationa$e 2, A serious adverse effect of efaviren- (Sustiva) is Stevens2Dohnson rash( which can be life threatenin . #ationa$e 3, Stevens2Dohnson rash( not bone marrow su""ression( is an adverse effect of efaviren- (Sustiva). #ationa$e 4, Stevens2Dohnson rash( not sei-ures( is an adverse effect of efaviren- (Sustiva). %$o&a$ #ationa$e: Co'niti(e )e(e$: Analy-in C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .harmacolo ical and .arenteral Thera"ies *ursin'/+nte'rated Con!epts: /ursin .rocess, Assessment )earnin' ,ut!ome: )121 Question 14 Type: MCSA
The nurse is aware that the ma;or structural com"onents of viruses are 1. e&tracellular "arasites. 2. intracellular "arasites. 3. e&tracellular bacteria. 4. intracellular bacteria. Corre!t Ans"er: 4 #ationa$e 1, %iruses are not e&tracellular "arasites. #ationa$e 2, %iruses are intracellular "arasites. They must be inside a host cell to cause infection. #ationa$e 3, %iruses are not bacteria. #ationa$e 4, %iruses are not bacteria. %$o&a$ #ationa$e: Co'niti(e )e(e$: =ememberin C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .hysiolo ical Ada"tation *ursin'/+nte'rated Con!epts: /ursin .rocess, .lannin )earnin' ,ut!ome: )12' Question 1 Type: MCSA The "ur"ose of eneral "harmacothera"y for human immunodeficiency virus (7I%)3AIDS is to 1. eliminate viral load. 2. relieve sym"toms for a lon er "eriod of time. 3. cure the disease. 4. !ill the virus. Corre!t Ans"er: 4 #ationa$e 1, %iral load cannot be eliminated. #ationa$e 2, The "ur"ose is to remain sym"tom2free for lon er.
#ationa$e 3, Anti2retroviral dru s cannot cure the disease. #ationa$e 4, Anti2retroviral dru s will not !ill the virus. %$o&a$ #ationa$e: Co'niti(e )e(e$: =ememberin C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .harmacolo ical and .arenteral Thera"ies *ursin'/+nte'rated Con!epts: /ursin .rocess, .lannin )earnin' ,ut!ome: )12) Question 16 Type: MCSA The dru most li!ely to be ordered for the client with her"es sim"le& virus is which of the followin # 1. Acyclovir (<ovira&) 2. <idovudine (=etrovir) 3. /ystatin (Cun i-one) 4. Methonida-ole (Cla yl) Corre!t Ans"er: ' #ationa$e 1, The dru acyclovir (<ovira&) is an antiviral dru used for her"es viruses and is most effective a ainst 7S%2' and 7S%24. #ationa$e 2, <idovudine is an antiviral mainly used in the treatment of 7I%. #ationa$e 3, /ystatin is an antifun al medication. #ationa$e 4, Methonida-ole is an antifun al medication. %$o&a$ #ationa$e: Co'niti(e )e(e$: =ememberin C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .harmacolo ical and .arenteral Thera"ies *ursin'/+nte'rated Con!epts: /ursin .rocess, .lannin )earnin' ,ut!ome: )121 Question 1Type: MCSA
8hich of the followin laboratory tests best evaluates 7I% disease# 1. .latelets 2. Eiver function studies 3. CD* count 4. Com"lete blood count Corre!t Ans"er: ) #ationa$e 1, .latelets are not indicated. #ationa$e 2, Eiver function studies can be used( but do not assess the "ro ress. #ationa$e 3, CD* count best determines the "ro ress of the disease. #ationa$e 4, Com"lete blood count can be used( but does not assess the "ro ress. %$o&a$ #ationa$e: Co'niti(e )e(e$: Fnderstandin C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .hysiolo ical Ada"tation *ursin'/+nte'rated Con!epts: /ursin .rocess, .lannin )earnin' ,ut!ome: )12) Question 1. Type: MCSA The nurse is carin for a client receivin ata-anavir (=eyata-). The nurse would observe for adverse effects of 1. nausea. 2. consti"ation. 3. di--iness. 4. increased urinary out"ut. Corre!t Ans"er: ' #ationa$e 1, /ausea is a common adverse effect of ata-anavir (=eyata-) and similar "rotease inhibitors.. #ationa$e 2, Diarrhea( not consti"ation( is a common adverse effect of this medication.
#ationa$e 3, Di--iness is not a common adverse effect of these medications. #ationa$e 4, Increased urinary out"ut is not an adverse effect. %$o&a$ #ationa$e: Co'niti(e )e(e$: Fnderstandin C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .harmacolo ical and .arenteral Thera"ies *ursin'/+nte'rated Con!epts: /ursin .rocess, Im"lementation )earnin' ,ut!ome: )12+ Question 1/ Type: MCSA The "rimary "ur"ose of a ents for her"es viruses is to 1. inhibit 7I% "rotease. 2. "revent viral D/A synthesis. 3. bind directly to reverse transcri"tase D/A. 4. create a defective D/A strand. Corre!t Ans"er: 4 #ationa$e 1, .rotease inhibitors for 7I% inhibit 7I% "rotease. #ationa$e 2, 7er"es antivirals "revent viral D/A synthesis. #ationa$e 3, /on2nucleoside reverse transcri"tase inhibitors for 7I% bind directly to reverse transcri"tase D/A. #ationa$e 4, /ucleoside and nucleotide reverse transcri"tase inhibitors create a defective D/A strand. %$o&a$ #ationa$e: Co'niti(e )e(e$: =ememberin C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .harmacolo ical and .arenteral Thera"ies *ursin'/+nte'rated Con!epts: /ursin .rocess, .lannin )earnin' ,ut!ome: )124 Question 20 Type: MCSA
The nurse is "re"arin to dischar e a client on an antiretroviral a ent. 8hich of the followin should the nurse include# 1. Ta!e your blood "ressure daily. 2. 8ei h yourself daily. 3. Ta!e your "ulse daily. 4. .ractice ood handwashin . Corre!t Ans"er: * #ationa$e 1, Ta!in a blood "ressure daily tem"erature is not necessary. #ationa$e 2, Daily wei ht is not necessary. #ationa$e 3, Ta!in the "ulse is not necessary. #ationa$e 4, 7andwashin is a technique the client and family members can use to control infection. %$o&a$ #ationa$e: Co'niti(e )e(e$: Fnderstandin C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .harmacolo ical and .arenteral Thera"ies *ursin'/+nte'rated Con!epts: /ursin .rocess, Im"lementation )earnin' ,ut!ome: )12A Question 21 Type: MCMA The client receives -idovudine (=etrovir) for treatment of human immunodeficiency virus (7I%) infection. The nurse would increase assessment surveillance for which adverse reactions from this treatment# Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that a""ly. 1. The client com"lains of fati ue and enerali-ed wea!ness. 2. The client com"lains of new onset headache. 3. Consti"ation 4. 0dema
. The client:s liver is "al"able on "hysical e&amination. Corre!t Ans"er: '(4(+ #ationa$e 1, Cati ue and wea!ness are e&"erienced by many clients ta!in -idovudine. #ationa$e 2, 7eadache will occur in the ma;ority of clients ta!in this medication. #ationa$e 3, Diarrhea is a more e&"ected adverse reaction. #ationa$e 4, 0dema is not an e&"ected adverse reaction. #ationa$e , 7e"atome aly can occur and may require dosa e ad;ustments or discontinuation of this dru . %$o&a$ #ationa$e: Co'niti(e )e(e$: A""lyin C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .harmacolo ical and .arenteral Thera"ies *ursin'/+nte'rated Con!epts: /ursin .rocess, .lannin )earnin' ,ut!ome: )1.1 Question 22 Type: MCMA A client has been "rescribed oseltamivir (Tamiflu) after com"lainin of influen-a2li!e sym"toms. 8hat information should the nurse "rovide for this client# Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that a""ly. 1. This medication is iven by inhalation. 2. Get this "rescri"tion filled and be in ta!in the medication immediately. 3. This medication will !ee" you from ettin the flu. 4. This is an e&"ensive medication. . This medication will be hel"ful if you have influen-a or a cold. Corre!t Ans"er: 4(* #ationa$e 1, <anamivir (=elen-a) is iven by inhalation( but oseltamivir is iven orally. #ationa$e 2, The effects of oseltamivir are best if it is started within *H hours of onset of sym"toms.
#ationa$e 3, This medication reduces the len th of illness( but does not "revent the illness. #ationa$e 4, Iseltamivir is e&"ensive. #ationa$e , These antivirals are not effective a ainst the common cold virus. %$o&a$ #ationa$e: Co'niti(e )e(e$: A""lyin C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .harmacolo ical and .arenteral Thera"ies *ursin'/+nte'rated Con!epts: /ursin .rocess, Im"lementation )earnin' ,ut!ome: )1.+ Question 23 Type: MCMA A nurse is "re"arin an education session for a rou" of "ublic school teachers re ardin "revention of influen-a. 8hat to"ics should be included in this session# Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that a""ly. 1. They need to discuss immuni-ation with their "ersonal health care "roviders due to contact with children. 2. 0ncoura e students and staff to stay home if they are ill. 3. 0ncoura e frequent handwashin for all students and staff. 4. There is little we can do to "revent a "andemic. . Anti2influen-a dru s should be reserved only for adults who have been dia nosed with influen-a. Corre!t Ans"er: '(4() #ationa$e 1, The "ublic school teachers should consider ta!in the influen-a immuni-ation because of contact with a lar e "o"ulation of children. #ationa$e 2, If those who are ill stay home they are less li!ely to e&"ose others to the illness. #ationa$e 3, Children learn by e&am"le and they should see their teachers and other adults "erformin frequent handwashin . #ationa$e 4, .eo"le( li!e teachers( who influence lar e numbers of individuals can hel" health care "roviders "revent or slow influen-a outbrea!s( e"idemics( and "andemics.
#ationa$e , Anti2influen-a dru s are used for children and are sometimes used for "revention as well as treatment after dia nosis. %$o&a$ #ationa$e: Co'niti(e )e(e$: A""lyin C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .hysiolo ical Ada"tation *ursin'/+nte'rated Con!epts: /ursin .rocess, .lannin )earnin' ,ut!ome: )1.A Question 24 Type: MCMA A nurse is "re"arin to administer "rescribed medication to a client e&"osed to he"atitis A. 8hich information should the nurse "rovide to this client# Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that a""ly. 1. I am ivin you 7A% vaccine. 2. Jou will li!ely need another in;ection( or booster( in 1 months. 3. I am ivin you he"atitis A immuno lobulin (7AI ). 4. This in;ection will !ee" you from contractin he"atitis A. . Jou will not need to worry about contractin he"atitis A for the ne&t + to H years. Corre!t Ans"er: ) #ationa$e 1, The vaccine is iven to "revent he"atitis A( but is not the li!ely medication iven when e&"osure is documented. #ationa$e 2, @oosters are iven for immuni-ations( not treatments after e&"osure is documented. #ationa$e 3, .oste&"osure treatment includes administration of he"atitis A immuno lobulin. #ationa$e 4, Immuno lobulins are only about H+B effective at "reventin 7A%. #ationa$e , The vaccine has a +KH years window of effectiveness( but that is not li!ely what this client is receivin . %$o&a$ #ationa$e:
Co'niti(e )e(e$: Analy-in C$ient *eed: .hysiolo ical Inte rity C$ient *eed Su&: .harmacolo ical and .arenteral Thera"ies *ursin'/+nte'rated Con!epts: /ursin .rocess, Im"lementation )earnin' ,ut!ome: )1.+ Question 2 Type: MCMA A client has ;ust recovered from a lon course of thera"y for shin les. The client says( L8hat can I do to !ee" from havin that a ain#M 8hat information should the nurse "rovide# Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that a""ly. 1. Try to find healthy outlets for your stress. 2. Ince you have had shin les( you are not li!ely to et it a ain. 3. Try to !ee" as "hysically healthy as "ossible. 4. There is little you can do to "revent outbrea!s. . Try to !ee" your immune system stron by ta!in Corre!t Ans"er: '()(+ #ationa$e 1, Challen es such as emotional stress can "romote active re"lication of the virus with lesion a""earance. #ationa$e 2, The virus that causes shin les can lay dormant for years and then become active. Multi"le outbrea!s over time are not uncommon. #ationa$e 3, .hysical health challen es su""ress the immune system and ma!e it more li!ely the client will have a shin les outbrea!. #ationa$e 4, The client can ta!e some active ste"s to lessen the li!elihood of recurrence. #ationa$e , Challen es to "hysical and emotional health can su""ress the immune system which allows the virus to re"licate actively. %$o&a$ #ationa$e: Co'niti(e )e(e$: A""lyin C$ient *eed: 7ealth .romotion and Maintenance C$ient *eed Su&:
ood care of your "hysical and emotional health.
*ursin'/+nte'rated Con!epts: /ursin .rocess, Im"lementation )earnin' ,ut!ome: )1.+

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Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E Chapter 36

ood care of your "hysical and emotional health.

*ursin'/+nte'rated Con!epts: /ursin .rocess, Im"lementation )earnin' ,ut!ome: )1.+

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