Deck 53: Pharmacotherapy of Protozoan and Helminthic Infections

Question 1

The nurse is caring for a male client diagnosed with visceral leishmaniasis,which he suspects he acquired on a mission trip to Brazil approximately 6 months ago.The client asks how he could have been infected with this disease while in Brazil.The nurse bases her response on the knowledge that leishmaniasis is carried by: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)dogs.
B)foxes.
C)squirrels.
D)rats.
E)cats.

Answer 1

dogs.
foxes.
squirrels.
rats.

Question 2

A client is diagnosed with enterobiasis.The nurse recognizes the primary symptom of enterobiasis as:

A)severe diarrhea with dehydration.
B)erythematous rash on the chest and body.
C)chronic cough with sweating at night.
D)perianal itching,especially at night.

Answer 2

perianal itching,especially at night.

Question 3

The nurse is caring for a client with a protozoan infection.The nurse instructs the client that the growing stage of a protozoan is termed a:

A)worm.
B)trophozoite.
C)vector.
D)cyst.

Answer 3

trophozoite.

Question 4

The nurse would correctly understand that pharmacotherapy of cryptosporidiosis is targeted at treating:

A)cough.
B)vomiting.
C)bullous rash.
D)diarrhea.

Question 5

A client has been hospitalized with malaria.The nurse explains to a family member that the primary determining factor for drug selection with this disease process is:

A)age.
B)the genus of the infecting organism.
C)the stage of infection.
D)the geographical location.

Question 6

The nurse treating a client with malaria knows that the goals of pharmacotherapy include: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)chemoprophylaxis.
B)treatment of acute attacks.
C)prevention of relapses.
D)prevention of bacterial infections.
E)prevention of viral infections.

Question 7

The nurse is caring for a client suspected of having a protozoan infection of the intestines.The nurse knows that which protozoan infections are spread by poor sanitation? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)Amebiasis
B)Giardiasis
C)Cryptosporidiosis
D)Toxoplasmosis
E)Trichomoniasis

Question 8

When oral mebendazole (Vermox)is prescribed for the treatment of ascariasis,the nurse would expect the drug regimen to be administered:

A)for 1 month.
B)over 3 days.
C)for 7 days.
D)as a single dose.

Question 9

What drug would the nurse expect to be the first choice of drugs ordered during the chemoprophylaxis stage in the treatment of malaria?

A)Doxycycline
B)Primaquine
C)Mefloquine
D)Chloroquine

Question 10

The nurse caring for a client with amebiasis explains that although other forms of transmission are possible,amebiasis is primarily acquired through:

A)blood transfer.
B)ingestion.
C)respiratory droplets.
D)open sores.

Question 11

The nurse is teaching a pharmacology course when a student comments that bacteria and protozoans are alike.The nurse would be correct in noting that,in contrast to bacteria,protozoans:

A)are more easily treated.
B)do not have vectors.
C)go through maturation stages in the host.
D)are short lived.

Question 12

The nurse is providing education to a client with malaria.When the client asks about the relationship between the life cycle of the Plasmodium and treatment of malaria,the nurse bases the answer on which concept?

A)The cycle of the Plasmodium dictates drug choice.
B)There is no true relationship.
C)Identification of the Plasmodium differentiates the type of malaria.
D)The life cycle of the Plasmodium is disrupted by the drug choice.

Question 13

The nurse asked to identify the most likely infestation site of helminths would be correct in identifying the:

A)lungs.
B)intestine.
C)eyes.
D)feet.

Question 14

The nurse caring for a client diagnosed with amebiasis understands that amebiasis is best treated with:

A)nitaxoanide.
B)tinidazole.
C)metronidazole.
D)pentamidine.

Question 15

The nurse is providing chemoprophylaxis drug therapy for a client who will be traveling to a country with a high incidence of malaria.Which drugs are appropriate for chemoprophylaxis? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)Chloroquine
B)Atovaquone-proguanil
C)Primaquine
D)Artemether-lumefantrine
E)Quinine sulfate

Question 16

Following treatment with praziquantel (Biltricide)for tapeworm infestation,the nurse would expect to administer:

A)yogurt.
B)a laxative.
C)an antacid.
D)a liquid diet.

Question 17

What information should the nurse provide to the parents of a child being treated for enterobiasis (pinworms)?

A)A stool specimen analysis will be needed to determine if the treatment was successful.
B)Everyone in the family should be treated.
C)Special precautions should be employed in disposing of bowel contents.
D)Mebendazole will be administered daily for one week.

Question 18

The nurse caring for a client with giardiasis expects the client to have symptoms that primarily affect the:

A)gastrointestinal system.
B)integumentary system.
C)renal system.
D)respiratory system.

Question 19

The nurse is educating a client on how protozoan infections are spread.The client asks if the infection is similar to a bacterial infection.To help distinguish the infections,what information regarding vectors does the nurse plan to include in the education session? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)The human body is considered a vector.
B)Mites are considered vectors.
C)Insects are considered vectors.
D)Ticks are considered vectors.
E)Dogs are considered vectors.

Question 20

A client has been diagnosed with trichomoniasis.The nurse expects the client to exhibit symptoms in the:

A)gastrointestinal system.
B)integumentary system.
C)reproductive system.
D)respiratory system.

Question 21

Which priority principles must the nurse understand to effectively administer pharmacotherapy for protozoan and helminth infections? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)Client compliance dictates treatment outcomes.
B)Infestation is present before symptoms appear.
C)Agents to treat these disorders have significant adverse effects.
D)Most therapies require single-day dosing.
E)Used appropriately,therapies are highly successful.

Question 22

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?

A)Age under 12 years
B)Age of 35 years with cirrhosis
C)Age of 42 with lupus
D)Age of 17 with a femoral fracture

Question 23

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

A)The urine for evidence of hemoglobin
B)The eyes for evidence of icterus
C)The skin for photosensitivity
D)The stool for lack of bile

Question 24

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

A)Diabetes insipidus
B)G-6-PD deficiency
C)Gout
D)Trisomy 13

Question 25

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

A)Nausea
B)Tinnitus
C)Diarrhea
D)Blurred vision

Question 26

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)"You may also experience changes in your sense of smell.Do not be alarmed."
B)"This is a common side effect and is produced by the medication."
C)"This indicates an allergic response to the drug; please come in immediately."
D)"This could be an indication of a problem with your kidneys.Increase your fluid intake to 2,000 mL per day."

Question 27

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? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)Stop taking the medication when feeling better
B)Do not share doses with other family members with similar symptoms
C)Return to the health care provider if symptoms have not subsided after a full course of treatment
D)Report any fever that does not subside in 3 days
E)Report any increasing symptoms

Question 28

The nurse knows that treatment with pyrimethamine must be stopped if the client exhibits which reactions? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)Seizure
B)A drop in red blood cells
C)Nausea
D)Vomiting
E)Anorexia

Question 29

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?

A)"Do not share hair combs and brushes with your friends."
B)"Limit the amount of sandwiches that you eat."
C)"Wash your hands after going to the restroom and before eating."
D)"Do not drink from someone else's glass or cup."

Question 30

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:

A)urine
B)lung
C)bile
D)feces