Author Question: A school nurse is meeting with a high school student who mentions that she is frustrated with her ... (Read 83 times)

neverstopbelieb · **on:** Jul 23, 2018

A school nurse is meeting with a high school student who mentions that she is frustrated with her repeated outbreaks of cold sores.

The student states that she tried an over-the-counter topical cream but that it failed to produce an appreciable improvement. The nurse should recognize that this student used what drug? A) Ganciclovir
B) Valacyclovir (Valtrex)
C) Famciclovir (Famvir)
D) Docosanol (Abreva)

Question 2

An older adult patient has a complex medical history that includes heart failure, type 1 diabetes, and diabetic nephropathy.

The nurse has questioned a care provider's order for oral spironolactone because the patient's health problems would contribute to a high risk of A) metabolic acidosis.
B) hypocalcemia.
C) hemolytic anemia.
D) hyperkalemia.

mcarey591 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
Docosanol (Abreva) is an over-the-counter topical antiviral agent that works in the early stages of intracellular events of viral entry into the target cells. Famciclovir (Famvir) is an oral antiviral agent administered for herpes zoster and recurrent genital herpes. Valacyclovir (Valtrex) is not an over-the-counter medication. Cold sores are not treated with ganciclovir.

Answer to Question 2

D
Feedback:
The presence of renal insufficiency is also a contraindication to the use of spironolactone because use of spironolactone may cause hyperkalemia through the inhibition of aldosterone and the subsequent retention of potassium. This patient does not face a greatly increased risk of anemia, hypocalcemia, or acidosis.