nr 293 week 4 quiz 2 – case studies contains 3 case studies pharmacology
vera cella | graded a
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Instructions: After reviewing Chapters 40, 41 & 42, please complete the following case studies. Use
your textbook to answer the questions and the Davis Drug Guide if you need additional information.
Be prepared to discuss your answers in class!
1. Antiviral Case Study
Vera Cella is a 59-year-old patient seen in the clinic today for a painful rash that runs in a half-circle
along her rib line. The rash is composed of raised, fluid-filled lesions. The patient describes the pain as
the most severe pain she has ever experienced. The physician makes a diagnosis of shingles and gives
the patient a prescription for acyclovir (Zovirax). Vera has some questions for the nurse regarding the
disease and the medication.
+
1. Vera asks why she has developed shingles. How will the nurse respond?
2. Vera asks what side effects she can expect. What side effects will the nurse teach instruct Vera to
monitor for while taking acyclovir? What can the nurse encourage Vera to do to lessen the most
common side effects?
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, 3. Vera asks the nurse, "Why can't I just have this medicine in an IV?" How should the nurse respond?
Would intravenous administration be appropriate for this patient? Explain why or why not.
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4. What are the serious adverse effects of acyclovir? What laboratory test results should the nurse
monitor?
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5. Vera returns to the clinic in 4 weeks stating she still has severe pain where the blisters once were.
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What would the nurse instruct Vera?
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6. Eight months later, Vera returns to the clinic with another outbreak of shingles. What medication
does the nurse anticipate will be ordered for her?
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