Nursing Application: Antivirals: Non-HIV

Select the data that should be collected by the nurse prior to administering the first dose of a prescribed antiviral medication for a cold sore.

*Allergies *Energy level *Nutritional status *Vital signs

Why are viral infections and viruses more difficult to eradicate than bacteria?

Viruses replicate only inside host cells and medications must enter the cell to be effective

Which statement, made by the mother of a 13-year-old being treated for a herpes simplex infection on the right forearm, indicates a need for further treatment?

"He has an area on his stomach that is starting ooze and crust."

The nurse is caring for a 27-year-old patient.... The nurse is charged with providing medication administration teaching. Which statement by the patient indicates further teaching is needed?

"I will stop the ribavirin while taking this new medication."

Which priority assessments should be completed before administering antiviral medication? Select all that apply.

*Drug-drug interactions *Baseline vital signs *Known allergies

The nurse is preparing to administer the aerosol form of ribavirin to an infant. The parents and grandparent are present in the room, what action will the nurse take to promote safe use of this inhalant? Select all that apply.

*Explain that the inhaled medication may be present in the air during treatment and ask that everyone wear a mask. *The nurse will wear a mask while handling and administering the medication. *Ask females of reproductive potential if they are pregnant or actively trying to conceive.

Before administration of non-HIV antiviral medication, what nursing actions should be completed? Select all that apply.

*Review current medication use *Perform a physical assessment *Assess vital signs *Verification of known allergies

Theo has recently been diagnosed with hepatitis C after being exposed to contaminated blood in his work as a medical researcher. When educating him about the prescribed ribavirin, what medication specific instructions does the nurse include? Select all that apply.

*Two forms of birth control should be used while taking this medication *Do not share this medication with others *Take the medication at the times prescribed to maintain a therapeutic level in the body *Notify the prescribing health care provider if you experience difficulty breathing

Many medications in the non-HIV antiviral class have names that end with the suffix 1.______________.

1. -vir

A dose-limiting toxicity of 1._______________ treatment is 2.__________________. Monitoring requires close review of the patient's 3._____________________ results.

1. Ganciclovir 2. bone marrow suppression 3. Complete blood cell count (CBC)

1. Inhibits viral replication; a direct-acting antiviral (DAA) 2. Inhibits the enzyme neuraminidase, which may alter virus particle aggregation and release 3. Interferes with viral DNA synthesis

1. Simeprevir 2. Oseltamivir 3. Acyclovir

Order the steps the nurse lists when providing patient education on applying a topical antiviral medication. Drag the items into order from first to last.

1. Wash hands 2. Apply glove 3. Place medication on gloved hand 4. Apply medication to affected area 5. Remove gloves and perform hand hygiene

1. Herpes virus 2. Hepatitis 3. Influenza

1. acyclovir trifluridine 2. sofosbuvir 3. oseltamivir amantadine

After surgery for organ transplantation, a patient is receiving ganciclovir, even though they do not have a viral infection. Which statement best explains the rationale for this medication therapy?

Ganciclovir is given to prevent cytomegalovirus (CMV) infection

A patient is taking oseltamivir for influenza infection. The nurse instructs the individual to seek emergency medication assistance for which known adverse reaction?

Seizures