The client receives acyclovir (Zovirax) for treatment of genital herpes. What is a priority assessment by the nurse?
1. Auditory and visual hallucinations
2. Increased serum creatinine
3. Respiratory distress
4. Thrombocytopenia
2
Rationale 1: Auditory and visual hallucinations are not adverse effects of acyclovir (Zovirax).
Rationale 2: Acyclovir (Zovirax) is nephrotoxic, so serum creatinine should be monitored.
Rationale 3: Respiratory distress is not an adverse effect of acyclovir (Zovirax).
Rationale 4: Bone marrow suppression is not an adverse effect of acyclovir (Zovirax).
Global Rationale: Acyclovir (Zovirax) is nephrotoxic, so serum creatinine should be monitored. Auditory and visual hallucinations, not respiratory distress, and bone marrow suppression are not adverse effects of acyclovir (Zovirax).
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1. Interstitial 2. Intravascular 3. Intracellular 4. Transcellular
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A) Restating B) Exploring C) Formulating a plan of action D) Making observations