It is crucial for the nurse to monitor which laboratory tests when a client is taking acyclovir (Zovirax)?
1. Fasting and postprandial blood glucose
2. White blood count (WBC) and aspartate aminotransferase (AST)
3. Blood urea nitrogen (BUN), creatinine, and complete blood count (CBC)
4. Viral culture and urinalysis
Correct Answer: 3
Rationale 1: Blood glucose does not need to be monitored with acyclovir.
Rationale 2: WBC can be monitored in a CBC, but AST is not necessary to monitor.
Rationale 3: This drug causes nephrotoxicity, hemolytic uremic syndrome, and thrombocytopenia purpura. These complications can be identified promptly by monitoring BUN, creatinine, and CBC frequently.
Rationale 4: A viral culture and urinalysis are not necessary with acyclovir.
Global Rationale: This drug causes nephrotoxicity, hemolytic uremic syndrome, and thrombocytopenia purpura. These complications can be identified promptly by monitoring BUN, creatinine, and CBC frequently. Blood glucose, AST, viral cultures, and urinalysis are not necessary when using acyclovir.
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