Question 1

A patient is taking chloroquine (Aralen)to treat acute malaria.Which statement by the patient indicates understanding of this medication?&#10;A) &#34;I should abstain from alcohol while taking this medication.&#34;&#10;B) &#34;I should report urine output less than 1000 mL/day.&#34;&#10;C) &#34;I should report visual changes immediately.&#34;&#10;D) &#34;I should take this drug on an empty stomach.&#34;

Accepted Answer

Patients taking chloroquine (Aralen)have a risk of visual injury related to side effects of blurred vision and should report visual changes to the provider.One does not need to abstain from alcohol,but if the patient drinks large amounts of alcohol or has a liver disorder,the liver enzymes will require closer monitoring.Patient should report urine output of less than 600 mL/day,and patients should take the drug with food.

Question 2

A patient will take an anthelmintic medication and asks the nurse about side effects.The nurse will tell the patient that anthelmintic drugs&#10;A) can cause hepatic toxicity.&#10;B) cause orthostatic hypotension.&#10;C) commonly have gastrointestinal (GI) side effects.&#10;D) have many serious adverse reactions.

Accepted Answer

Anthelmintic drugs have many GI side effects,including anorexia,nausea,vomiting,diarrhea,and cramps.Adverse reactions do not occur frequently.

Question 3

Which topical antifungal medication is used to treat vaginal candidiasis?&#10;A) Haloprogin (Halotex)&#10;B) Miconazole (Monistat)&#10;C) Oxiconazole (Oxistat)&#10;D) Terbinafine HCl (Lamisil)

Accepted Answer

Topical miconazole is used to treat vaginal candidiasis.

Question 4

A child is being treated for pinworms,and the parent asks the nurse how to prevent spreading this to other family members.What will the nurse tell the parent?&#10;A) &#34;Give your child baths every day.&#34;&#10;B) &#34;Obtain a daily stool specimen from your child.&#34;&#10;C) &#34;Wash your child's clothing in hot water.&#34;&#10;D) &#34;Your child should wash hands well after using the toilet.&#34;

Accepted Answer

To prevent the spread of pinworms,good hand washing after toileting is recommended.Patients should take showers,not baths.It is not necessary to get regular stool specimens or to wash clothing in hot water.

Question 5

The nurse is preparing to administer an intravenous polymyxin antibiotic.The patient reports dizziness along with numbness and tingling of the hands and feet.The nurse will perform which action?&#10;A) Administer the drug since these are harmless side effects.&#10;B) Hold the drug and notify the provider of these adverse reactions.&#10;C) Obtain an order for an oral form of this medication.&#10;D) Request an order for serum electrolytes.

Accepted Answer

Polymyxins can cause nephrotoxicity and neurotoxicity.This patient has signs of neurotoxicity,so the nurse should notify the provider.These effects are generally reversible when the drug is discontinued.It is not correct to administer the drug when these symptoms are present.Polymyxins are not absorbed orally.Serum electrolytes are not indicated.

Question 6

A child is diagnosed with pinworms.Which anthelmintic drug will the provider order for this child?&#10;A) Bithionol (Bitin)&#10;B) Diethylcarbamazine (Hetrazan)&#10;C) Pyrantel pamoate (Pin Rid)&#10;D) Praziquantel (Biltricide)

Accepted Answer

Pyrantel pamoate is used to treat pinworms.The other drugs treat other types of parasites.

Question 7

A patient who has traveled to an area with prevalent malaria has chills,fever,and diaphoresis.The nurse recognizes this as which phase of malarial infection?&#10;A) An erythrocytic phase&#10;B) An incubation phase&#10;C) A prodromal phase&#10;D) A tissue phase

Accepted Answer

The erythrocytic phase of malarial infection occurs when the parasite invades the red blood cells and is characterized by chills,fever,and sweating.

Question 8

A young adult female who is taking metronidazole (Flagyl)to treat trichomoniasis calls the nurse to report severe headache,flushing,palpitations,cramping,and nausea.What will the nurse do next?&#10;A) Ask about alcohol consumption.&#10;B) Reassure her that these are harmless side effects.&#10;C) Tell her that this signals a worsening of her infection.&#10;D) Tell her to go to the emergency department immediately.

Accepted Answer

Patients who are taking metronidazole can experience a disulfiram-like reaction when they drink alcohol.These are not harmless adverse effects or a sign of worsening of her infection.

Question 9

The nurse is teaching a patient who is receiving chloroquine (Aralen)for malaria prophylaxis.Which statement by the patient indicates a need for further teaching?&#10;A) &#34;I may experience hair discoloration while taking this drug.&#34;&#10;B) &#34;I should not take this drug with lemon juice.&#34;&#10;C) &#34;I should use sunscreen while taking this drug.&#34;&#10;D) &#34;If I have gastrointestinal upset, I should take an antacid.&#34;

Accepted Answer

Patients should not take these drugs with antacids.

Question 10

A patient who is taking metronidazole (Flagyl)reports metallic taste in the mouth.Which action will the nurse take?&#10;A) Obtain an order for BUN and creatinine levels.&#10;B) Reassure the patient that this is a harmless effect.&#10;C) Request an order for a urinalysis.&#10;D) Test her urine for occult blood.

Accepted Answer

A metallic taste is an unpleasant,but harmless side effect of metronidazole and is not cause for concern.

Question 11

A patient is preparing to travel to a country with prevalent malaria.To prevent contracting the disease,the provider has ordered chloroquine HCl (Aralen).The nurse will instruct the patient to take this drug according to which schedule?

A) 500 mg weekly beginning 2 weeks prior to travel and continuing for 4 to 8 weeks after travel
B) 1000 mg weekly beginning 2 weeks prior to travel and continuing for 6 to 8 weeks after travel
C) 500 mg once followed by 500 mg per dose in 6 hours, 24 hours, and 48 hours
D) 1000 mg once followed by 500 mg per dose in 6 hours, 24 hours, and 48 hours

Accepted Answer

The answer of A patient is preparing to travel to...

Deck 28: Peptides,antimalarials,and Anthelmintics