The drug most likely to be ordered for the client with herpes simplex virus is which of the following?
1. Acyclovir (Zovirax)
2. Zidovudine (Retrovir)
3. Nystatin (Fungizone)
4. Methonidazole (Flagyl)
Correct Answer: 1
Rationale 1: The drug acyclovir (Zovirax) is an antiviral drug used for herpes viruses and is most effective against HSV-1 and HSV-2.
Rationale 2: Zidovudine is an antiviral mainly used in the treatment of HIV.
Rationale 3: Nystatin is an antifungal medication.
Rationale 4: Methonidazole is an antifungal medication.
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A nurse is working with a patient in the clinic who has erectile dysfunction. The patient has been prescribed sildenafil (Viagra). The patient wants to do everything he can to promote effectiveness of the drug. The nurse will instruct him to
A) avoid taking the drug with a high-protein meal. B) avoid taking the drug with a high-fat meal. C) drink plenty of fluids. D) take a double dose of the drug.
Your patient's medical record indicates severe chest trauma and recent onset of subcutaneous emphysema. Upon palpation of the patient's chest, you are most likely to feel
a. beads of air under the skin that pop with the pressure of your fingers, making a crackling sound. b. a hard swollen mass covering the area of trauma. c. air escaping around his chest tube that is being trapped by his bandages. d. air flowing into his subcutaneous tissue as his lungs attempt to reinflate.
The 75-year-old diabetic patient has an inflamed area at the shin caused by scratching. Which intervention should the nurse perform first?
a. Record the skin break. b. Apply antibiotic ointment. c. Wrap with an ACE bandage. d. Cover with clear occlusive dressing.
A staff nurse recognizes the need for a change in practice regarding hand hygiene. How can the nurse implement a change in practice? (Select all that apply.)
a. Ignore the problem until management en-forces a change. b. Ask if the manager can hold a staff in-service. c. Implement the change on the unit. d. Monitor the change. e. Evaluate the effectiveness of the change.