A nurse is preparing to administer antiviral therapy.
The nurse integrates knowledge of this therapy, administering the drugs cautiously to clients with which of the following?
Hepatic impairment.
Renal impairment.
Diabetes.
Hypertension.
The Correct Answer is A
Choice A rationale:
Antiviral drugs are metabolized in the liver, and hepatic impairment can affect the metabolism and elimination of these drugs. Therefore, the nurse should administer antiviral therapy cautiously to clients with hepatic impairment to prevent potential drug toxicity. Hepatic impairment can alter the pharmacokinetics of antiviral drugs, leading to increased drug levels in the bloodstream.
Choice B rationale:
Renal impairment is not typically a contraindication for antiviral therapy. While some medications may require dose adjustments in patients with renal impairment, it is not a general concern for antiviral drugs. The primary organ responsible for the metabolism of antiviral drugs is the liver.
Choice C rationale:
Diabetes and hypertension are chronic medical conditions that are not directly related to the administration of antiviral therapy. These conditions do not significantly impact the pharmacokinetics or pharmacodynamics of antiviral drugs. Therefore, they are not primary factors to consider when administering antiviral therapy.
Choice D rationale:
Hypertension, like diabetes, is not directly related to the administration of antiviral therapy. Antiviral drugs primarily interact with the liver's metabolic pathways, and hypertension does not have a significant impact on drug metabolism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Anthelmintic drugs are contraindicated in patients who are pregnant because these drugs can potentially harm the developing fetus. Many anthelmintic drugs have not been studied extensively in pregnant women, and their safety in pregnancy has not been established. Therefore, it is advisable to avoid using anthelmintic drugs in pregnant patients to minimize potential risks to both the mother and the fetus.
Choice B rationale:
Anthelmintic drugs should be used cautiously in patients with myasthenia gravis. Myasthenia gravis is an autoimmune neuromuscular disorder characterized by muscle weakness and fatigue. Some anthelmintic drugs may have neuromuscular side effects, which can worsen the symptoms in individuals with myasthenia gravis. Therefore, caution is warranted when considering anthelmintic therapy in these patients.
Choice C rationale:
Clinical depression is not a contraindication for anthelmintic drugs. While some side effects of anthelmintic drugs may include mood changes or psychiatric symptoms, these drugs are primarily used to treat parasitic infections and are not contraindicated in patients with clinical depression. The benefits of treating the parasitic infection may outweigh the potential psychiatric side effects.
Choice D rationale:
Children younger than 15 years are not necessarily contraindicated for anthelmintic drugs. The choice of anthelmintic therapy in pediatric patients should be based on the specific drug, the type of parasitic infection, and the age and weight of the child. Anthelmintic drugs are often used in children to treat parasitic infections, but the choice of drug and the dosing regimen should be carefully selected based on individual patient characteristics.
Correct Answer is B
Explanation
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