The nurse is caring for a patient receiving intravenous acyclovir ...

[roselinechinyere27m]

The nurse is caring for a patient receiving intravenous acyclovir (Zovirax). To prevent nephrotoxicity associated with intravenous acyclovir, the nurse will:
 
  a. hydrate the patient during the infusion and for 2 hours after the infusion.
  b. increase the patient's intake of foods rich in vitamin C.
  c. monitor urinary output every 30 minutes.
  d. provide a low-protein diet for 1 day before and 2 days after the acyclovir infusion.

Question 2

A nurse provides teaching for a patient with cytomegalovirus (CMV) retinitis who will receive the ganciclovir ocular implant (Vitrasert). Which statement by the patient indicates a need for further teaching?
 
  a. My vision may be blurred for 2 to 4 weeks after receiving the implant.
  b. Surgical placement of the implant is an outpatient procedure.
  c. The implant will remain in place permanently.
  d. The implant will slow progression of CMV retinitis.

[kaillie]

Answer to Question 1

ANS: A
The nurse should ensure that the patient is hydrated during the acyclovir infusion and for 2 hours after the infusion to prevent nephrotoxicity. Increasing vitamin C would not help prevent nephrotoxicity. Monitoring urine output is important but would not help prevent nephrotoxicity. A low-protein diet is not indicated after an acyclovir infusion.

Answer to Question 2

ANS: C
Ganciclovir ocular implants must be replaced every 5 to 8 months and do not remain in place permanently. It is correct that vision may be blurred for 2 to 4 weeks after placement of the implant, that placement is an outpatient procedure, and that the implant will slow progression of CMV retinitis.

[roselinechinyere27m]

Excellent

[tranoy]

Thanks for the timely response, appreciate it