Deck 99: Antiprotozoal Drugs 2: F Miscellaneous Agents

Question 1

A patient who has human immunodeficiency virus (HIV) infection has developed pneumocystis pneumonia (PCP) and will receive parenteral pentamidine (Pentam 300). The nurse caring for this patient will:

A) administer the drug with the patient supine and monitor the blood pressure closely.
B) inform the patient to report coughing and shortness of breath.
C) teach the patient that darkening of the urine may occur with this drug.
D) tell the patient to report yellow discoloration of the sclerae.

Answer 1

administer the drug with the patient supine and monitor the blood pressure closely.

Question 2

A child is diagnosed with cryptosporidiosis, and the prescriber orders nitazoxanide (Alinia). While preparing the child's parents to administer this drug, the nurse will:

A) determine whether the child is taking immunosuppressant medications.
B) instruct the family to have the child take the drug on an empty stomach.
C) teach the parents that yellow discoloration of the sclerae represents a serious side effect.
D) tell the parents that headache, dry mouth, and a metallic taste are common.

Answer 2

determine whether the child is taking immunosuppressant medications.

Question 3

A family has just returned from a camping trip, and all family members have diarrhea and colicky abdominal pain after eating. The parents report that they drank water from a well while on the camping trip. While awaiting stool cultures, the nurse will expect the provider to order which agent empirically?

A) Iodoquinol (Yodoxin)
B) Metronidazole (Flagyl)
C) Miltefosine (Impavido)
D) Sodium stibogluconate (Pentostam)

Answer 3

Metronidazole (Flagyl)

Question 4

A patient taking metronidazole (Flagyl) for asymptomatic intestinal amebiasis complains of tingling and numbness of the hands and feet. What action by the nurse is most appropriate?

A) Encourage the patient to exercise to improve circulation.
B) Inform the patient that numbness is a common and reversible side effect.
C) Stress the need to avoid constrictive clothing and crossing the legs.
D) Withhold the drug and notify the prescriber.

Question 5

The nurse is caring for a patient with severe symptomatic intestinal amebiasis who has just completed a 10-day course of metronidazole (Flagyl). Which medication would the nurse expect to be ordered for the patient?

A) Atovaquone (Mepron)
B) Iodoquinol (Yodoxin)
C) Nitazoxanide (Alinia)
D) Pentamidine (Pentam)

Question 6

A patient from Africa is being treated for East African trypanosomiasis. The nurse is preparing to administer a first dose of suramin sodium (Germanin). To prevent serious side effects, which action will the nurse take?

A) Administer a small test dose before giving the drug.
B) Ask the patient to lie flat while the drug is given.
C) Give a high-fat snack with the drug to minimize gastric upset.
D) Suggest to the provider that liver function tests (LFTs) be performed.

Question 7

The nurse is providing patient education to a 26-year-old college student who is being treated for Trichomonas vaginalis with metronidazole (Flagyl). Which statement by the patient indicates understanding of the teaching?

A) "I should not consume alcohol while taking this medication."
B) "If I have dark urine, I should stop taking the drug."
C) "The drug is safe throughout pregnancy."
D) "Vertigo and headaches may occur and are signs of toxicity."

Question 8

The nurse is monitoring a patient who is receiving an inhalation treatment with pentamidine (NebuPent). The patient begins to cough and states that he is having trouble breathing. What is the best action by the nurse?

A) Administer a PRN dose of a bronchodilator.
B) Discontinue the inhalation treatment.
C) Nothing, because these are expected adverse effects of pentamidine.
D) Reduce the rate of the inhalation treatment.