Question 1

The nurse would assess the client being treated for malaria with quinine for which of the following classic adverse effects?&#10;A) Temporary hearing loss&#10;B) Peripheral neuritis&#10;C) Tinnitus&#10;D) Reddish colored urine&#10;

Accepted Answer

Quinine is known to cause tinnitus, or ringing in the ears, as a classic adverse effect. Temporary hearing loss and peripheral neuritis are not typically associated with quinine. Reddish colored urine may be a sign of hematuria, which can indicate a more serious adverse reaction and should be reported to the healthcare provider immediately.

Question 2

The nurse would be most concerned about the development of which of the following in a client taking paromomycin (Humatin)?&#10;A) Nausea&#10;B) Diarrhea&#10;C) Weakness&#10;D) Ringing in the ears&#10;

Accepted Answer

Paromomycin can cause ototoxicity, which is manifested as ringing in the ears (tinnitus). This is a more concerning side effect than nausea, diarrhea, or weakness, as it can indicate damage to the ear and potential hearing loss.

Question 3

In addition to being used in the management of malaria,hydroxychloroquine (Plaquenil)is also used in the treatment of which of the following health problems?&#10;A) Gouty arthritis&#10;B) Renal failure&#10;C) Hepatomegaly&#10;D) Systemic lupus erythematosus&#10;

Accepted Answer

Hydroxychloroquine (Plaquenil) is primarily used in the management of systemic lupus erythematosus (SLE), an autoimmune disease that affects multiple organs and tissues. It can help reduce inflammation, joint and muscle pain, fatigue, and skin rashes in patients with SLE. While it may be used off-label for other conditions, such as rheumatoid arthritis and certain skin disorders, its primary indication is SLE.

Question 4

The travel clinic nurse would not expect which of the following drugs to be used for the treatment of leprosy?&#10;A) Quinacrine (Primaquine)&#10;B) Dapsone (DDS)&#10;C) Rifampin (Rimactane)&#10;D) Clofazimine (Lamprene)&#10;

Accepted Answer

Quinacrine (Primaquine) is not used for the treatment of leprosy. It is primarily used for the treatment of malaria and amoebiasis. The other options (Dapsone, Rifampin, and Clofazimine) are commonly used in the treatment of leprosy.

Question 5

The nurse plans to administer a dose of capreomycin (Capastat)by which of the following ordered routes?&#10;A) Orally&#10;B) Deep intramuscular injection&#10;C) Aerosol inhalation&#10;D) Intravenously&#10;

Accepted Answer

Capreomycin (Capastat) is administered by deep intramuscular injection. It should not be given orally, aerosol inhalation or intravenously.

Question 6

The nurse instructs the client taking mebendazole (Vermox)that absorption is greatest if it is taken with which of the following types of foods?&#10;A) High-protein&#10;B) High-fat&#10;C) High-carbohydrate&#10;D) High-sodium&#10;

Accepted Answer

Mebendazole (Vermox) is an anti-parasitic medication that is absorbed best when taken with a high-fat meal. This is because it is lipophilic, which means it dissolves in fats and lipids. Taking it with a high-fat meal will enhance its absorption and increase its effectiveness.

Question 7

The nurse should provide which of the following instructions to a client with pinworm infestation taking mebendazole (Vermox)?&#10;A) Take a bath daily&#10;B) Disinfect toilet facilities daily&#10;C) Shake the bed linens twice a week&#10;D) Change towels at least every other day&#10;

Accepted Answer

Disinfecting toilet facilities daily is crucial to prevent the spread and reinfestation of pinworms, as they can be transmitted through contaminated surfaces.

Question 8

The nurse determines that drug therapy with pyridoxine in the client taking isoniazid is effective if the client does not show evidence of which of the following?&#10;A) Renal failure&#10;B) Hepatotoxicity&#10;C) Metabolic encephalopathy&#10;D) Peripheral neuritis&#10;

Accepted Answer

Pyridoxine is given along with isoniazid to prevent peripheral neuritis, which is a common side effect of isoniazid. Renal failure, hepatotoxicity, and metabolic encephalopathy are not directly related to the use of isoniazid and pyridoxine.

Question 9

The nurse explains to a client with tuberculosis that which drug is used when other mycobacterial agents for treating tuberculosis have failed or cannot be used because of toxicity?&#10;A) Neomycin (Neo-Fradin)&#10;B) Capreomycin (Capastat)&#10;C) Doxorubicin (Adriamycin)&#10;D) Kanamycin (Kantrex)&#10;

Accepted Answer

Capreomycin (Capastat) is an antibiotic that is used when other mycobacterial agents for treating tuberculosis have failed or cannot be used because of toxicity. Neomycin (Neo-Fradin), Doxorubicin (Adriamycin), and Kanamycin (Kantrex) are not typically used to treat tuberculosis.

Question 10

After noting that a client is receiving paromomycin (Humatin),the nurse checks the medical record for documentation of which of the following health problems?&#10;A) Tuberculosis&#10;B) Malaria&#10;C) Amebiasis&#10;D) Toxoplasmosis&#10;

Accepted Answer

Paromomycin (Humatin) is an antiprotozoal medication that is most commonly used to treat amebiasis, an intestinal infection caused by the amoeba Entamoeba histolytica. It is not typically used to treat tuberculosis, malaria, or toxoplasmosis.

Question 11

The nurse concludes that the client is having the expected benefit of drug therapy with primaquine when the client shows improvement in symptoms of which of the following health problems?&#10;A) Tuberculosis&#10;B) Malaria&#10;C) Amebiasis&#10;D) Toxoplasmosis&#10;

Accepted Answer

The answer of The nurse concludes that the client is...

Question 12

A client who understood instructions about drug therapy with pyrimethamine (Daraprim)would not report which of the following symptoms as a possible adverse drug reaction?&#10;A) Fever&#10;B) Increased appetite&#10;C) Sore throat&#10;D) Blood dyscrasia&#10;

Accepted Answer

The answer of A client who understood instructions about drug...

Question 13

The nurse would assess the client taking chloroquine (Aralen)for which of the following signs consistent with an adverse drug effect?&#10;A) Nosebleed&#10;B) Sore throat&#10;C) Sneezing&#10;D) Excessive eye tearing&#10;

Accepted Answer

The answer of The nurse would assess the client taking...

Question 14

Therapy with hydroxychloroquine (Plaquenil)should continue while in a malarious country and for up to how long after leaving the affected area?&#10;A) 1 to 2 weeks&#10;B) 4 weeks&#10;C) 8 weeks&#10;D) 12 to 14 weeks&#10;

Accepted Answer

The answer of Therapy with hydroxychloroquine (Plaquenil)should continue while in...

Question 15

The nurse explains to a client with tuberculosis to avoid which of the following because it has a known drug interaction with isoniazid (INH)?&#10;A) Nicotine&#10;B) Alcohol&#10;C) Laxative&#10;D) Antacid&#10;

Accepted Answer

The answer of The nurse explains to a client with...

Question 16

The nurse would be most concerned about the development of which of the following in a client taking isoniazid (INH)?&#10;A) Anorexia&#10;B) Weakness&#10;C) Vomiting&#10;D) Jaundice&#10;

Accepted Answer

The answer of The nurse would be most concerned about...

Question 17

A client will start drug therapy with chloroquine (Aralen)for treatment of rheumatoid arthritis.The nurse explains that,when used for this purpose,results may not be noted for how long?&#10;A) 1 to 2 months&#10;B) 2 to 4 months&#10;C) 4 to 6 months&#10;D) 6 to 12 months&#10;

Accepted Answer

The answer of A client will start drug therapy with...

Question 18

The client should be told that rifampin (Rifadin)may&#10;A) lead to renal failure.&#10;B) precipitate reversible retinopathy.&#10;C) be safely used for 2 years.&#10;D) turn the urine brown or red.&#10;

Accepted Answer

The answer of The client should be told that rifampin...

Question 19

The nurse should assess the client periodically for which of the following most serious adverse effects during drug therapy with ethambutol (Myambutol)?&#10;A) Confusion&#10;B) Gastric distress&#10;C) Optic neuritis&#10;D) Headache&#10;

Accepted Answer

The answer of The nurse should assess the client periodically...

Question 20

The nurse would determine that the goals of therapy have been met for the client taking dapsone (Avlosulfon)if the client had which of the following?&#10;A) Negative skin scrapings&#10;B) Absence of diarrhea&#10;C) No evidence of intestinal worms&#10;D) Relief of symptoms of tuberculosis&#10;

Accepted Answer

The answer of The nurse would determine that the goals...

Deck 60: Other Antimicrobial Drugs and Antiparasitic Drugs