A client who is pregnant has a history of recurrent genital herpes virus. The client asks the nurse what will be done to suppress an outbreak when she is near term. What is the nurse's response?
"Oral acyclovir may be used during pregnancy."
"Intravenous antiviral agents will be used if an outbreak occurs."
"Topical acyclovir must be used to control outbreaks."
"Antiviral medications are not safe during pregnancy."
The Correct Answer is A
a. This is the correct answer. Oral acyclovir is considered safe during pregnancy and may be used to suppress outbreaks of genital herpes in pregnant women.
b. Using intravenous antiviral agents is typically reserved for severe cases and is not the first-line approach for suppressing outbreaks in pregnant women.
c. While topical acyclovir can be used for genital herpes outbreaks, it is not typically the first choice for suppression during pregnancy.
d. This statement is not accurate. Some antiviral medications, including oral acyclovir, are considered safe during pregnancy when the benefits outweigh the risks, especially in cases where there is a history of recurrent genital herpes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Transdermal estrogen therapy may have reduced side effects compared to oral preparations.
b) Intravaginal preparations may be more focused on genitourinary symptoms and may not necessarily reduce side effects.
c) An estrogen-progesterone combination is often used to prevent endometrial hyperplasia but may not necessarily increase side effects.
d) While side effects can occur at any age, the focus should be on the formulation of estrogen therapy, and transdermal preparations are often associated with reduced side effects.
Correct Answer is C
Explanation
a) Requesting central venous access is not the first-line response to signs of redness, pain, and irritation at the current infusion site. It's essential to address the immediate issue first.
b) Continuing the infusion while elevating the arm may exacerbate the symptoms and is not an appropriate action when there are signs of localized irritation.
c) Stopping the infusion and selecting an alternate intravenous site is the correct action to prevent further complications and assess the cause of the irritation.
d) Applying warm packs and infusing the medication at a slower rate may not be sufficient to address the observed redness and pain, and an alternate site should be considered.
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