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A nurse is caring for a client who has varicella-zoster virus. Which of the following medications should the nurse expect to administer?

A.

Mostly cloudy

B.

Acyclovir

C.

Vancomycin

D.

Gentamicin

E.

Quinine

Answer and Explanation

The Correct Answer is B

Rationale: 

 

A. Mostly cloudy: This option does not refer to a medication and is therefore irrelevant in this context. 

 

B. Acyclovir: This is the correct medication for treating varicella-zoster virus, as it is an antiviral drug effective in managing symptoms and reducing the duration of the infection. 

 

C. Vancomycin: This antibiotic is used to treat serious bacterial infections and is not indicated for viral infections like varicella-zoster. 

 

D. Gentamicin: This is an aminoglycoside antibiotic that is ineffective against viral infections and is used primarily for bacterial infections. 

 

E. Quinine: This medication is used to treat malaria and is not relevant for varicella-zoster virus treatment.

 


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Correct Answer is B

Explanation

Rationale:

A. Nitrates: Nitrates are primarily used to manage angina or heart conditions and are unrelated to acetazolamide or its potential for allergic reactions.

B. Sulfa-based medications: Acetazolamide is a carbonic anhydrase inhibitor that contains sulfonamide groups. Clients with a sulfa allergy may experience a cross-sensitivity reaction, so it's important to confirm any history of sulfa allergies before administration.

C. Mostly cloudy: This option does not relate to any medication classification and is incorrect.

D. Antilipemic agents: Antilipemics are used to lower cholesterol and are not related to acetazolamide or its potential for allergic reactions.

E. Proton pump inhibitors: Proton pump inhibitors are used to reduce stomach acid and do not have a known cross-sensitivity with acetazolamide.

Correct Answer is A

Explanation

Rationale:

A. Nitrofurantoin can cause brown-colored urine due to its pigment, and clients should be informed to report this as a common side effect and not a cause for alarm.

B. Nitrofurantoin is an antibiotic used to treat urinary tract infections and does not provide relief for peripheral nerve pain.

C. Nitrofurantoin should not be crushed, as it can affect the medication's absorption and effectiveness.

D. A cough is not a typical side effect of nitrofurantoin; however, if the client develops a cough, it could be a sign of a serious side effect, and they should notify the provider.

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