Question 1

The nurse understands that a client with which condition might respond abnormally to primaquine therapy?

Accepted Answer

Primaquine therapy can cause hemolytic anemia in clients with glucose-6-phosphate dehydrogenase (G-6-PD) deficiency, a genetic condition that affects red blood cells. Clients with this condition should be identified before starting primaquine therapy.

Question 2

A client taking metronidazole telephones the nurse to report that he has a strange metallic taste in his mouth.The nurse correctly responds by saying:

Accepted Answer

A metallic taste in the mouth is a common side effect of metronidazole. It is not an allergic response or an indication of kidney problems. The nurse should reassure the client that this is a known side effect and should subside once the medication is completed.

Question 3

A nurse teaches a health education class for grade school children in a rural community.Which information should the nurse include to reduce the incidence of helminthic infections?

Accepted Answer

Washing hands after going to the restroom and before eating is essential to prevent helminthic infections, which are caused by parasitic worms that can be transmitted through fecal-oral contact. This can occur when hands or surfaces are contaminated with feces containing eggs, which are then ingested. The other choices do not directly address the prevention of helminthic infections.

Question 4

Which priority principles must the nurse understand to effectively administer pharmacotherapy for protozoan and helminth infections?
Select all that apply.

Accepted Answer

The answer of Which priority principles must the nurse understand...

Question 5

A client is receiving medication for a hookworm infection.In planning education for the client,the nurse knows it is essential to include which client-centered points?
Select all that apply.

Accepted Answer

The answer of A client is receiving medication for a...

Question 6

The nurse is reviewing the medical record of a client prescribed mebendazole for the treatment of pinworm.Which patient would the nurse plan to monitor most closely?

Accepted Answer

Mebendazole is metabolized in the liver, so patients with liver conditions such as cirrhosis are at higher risk for adverse effects and require closer monitoring.

Question 7

What would the nurse assess in a client taking primaquine based on an understanding of the adverse effects?

Accepted Answer

Primaquine can cause hemolytic anemia in individuals with G6PD deficiency, leading to hemoglobinuria, which is the presence of hemoglobin in the urine.

Question 8

Which adverse effects in the client taking chloroquine would require the nurse to notify the provider immediately?

Accepted Answer

Blurred vision can be a symptom of retinopathy, a serious adverse effect of chloroquine. It is important for the nurse to notify the provider immediately to prevent permanent vision loss. Nausea, tinnitus, and diarrhea are common side effects of chloroquine but do not warrant immediate notification unless they are severe or persistent.

Question 9

A client is receiving mebendazole (Vermox)as treatment for hookworm.The nurse teaches that part of the effectiveness of the drug is due to excretion through the:

Accepted Answer

Mebendazole is primarily excreted through the feces. It works by interfering with the metabolism of the worms, ultimately leading to their death and elimination through the feces. Some of the drug may be metabolized in the liver before excretion through the bile, but excretion via urine or lung is not significant.

Question 10

The nurse knows that treatment with pyrimethamine must be stopped if the client exhibits which reactions?
Select all that apply.

Accepted Answer

Pyrimethamine can cause bone marrow suppression, leading to a drop in red blood cells (hematological toxicity), and it can also increase the risk of seizures due to its effects on the central nervous system.

Quiz 53: Pharmacotherapy of Protozoan and Helminthic Infections

The nurse understands that a client with which condition might respond abnormally to primaquine therapy?

A client taking metronidazole telephones the nurse to report that he has a strange metallic taste in his mouth.The nurse correctly responds by saying:

A nurse teaches a health education class for grade school children in a rural community.Which information should the nurse include to reduce the incidence of helminthic infections?

Which priority principles must the nurse understand to effectively administer pharmacotherapy for protozoan and helminth infections? Select all that apply.

A client is receiving medication for a hookworm infection.In planning education for the client,the nurse knows it is essential to include which client-centered points? Select all that apply.

The nurse is reviewing the medical record of a client prescribed mebendazole for the treatment of pinworm.Which patient would the nurse plan to monitor most closely?

What would the nurse assess in a client taking primaquine based on an understanding of the adverse effects?

Which adverse effects in the client taking chloroquine would require the nurse to notify the provider immediately?

A client is receiving mebendazole (Vermox) as treatment for hookworm.The nurse teaches that part of the effectiveness of the drug is due to excretion through the:

The nurse knows that treatment with pyrimethamine must be stopped if the client exhibits which reactions? Select all that apply.