Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
You are an adult medical-surgical nurse on a medical trip with your hospital to Indonesia. While there, you meet a woman named Nani, a 35-year-old woman who was previously healthy, although she looks like she has aged well into her 50s. She has come to you because her village doctors have told her she has malaria. She is breathing heavily, very sweaty with a high fever, achy, and shaking. Her eyes are slightly yellow in color, but you are unsure if this is related or unrelated to her current illness. She has been sick for a little over a week, and has gone through several cycles of feeling better for a couple days before the fever, sweating, and chills broke out again. She tells you that the village doctors tried to treat her with a combination of a mosquito paste with a root you have never heard of, but they were apparently unsuccessful. You have a portable serological testing kit, and you confirm the diagnosis with a drop of blood from Nani’s finger.
-You approach the physician you are reporting to at the moment with Nani's clinical diagnosis and findings.However,before you even approach him,you are well aware of what treatment he is going to order.In this case,what is the first line treatment?

Question

Please read the clinical scenario, and then answer the question that follow to become familiar with the traditional NCLEX question format.
 You are an adult medical-surgical nurse on a medical trip with your hospital to Indonesia. While there, you meet a woman named Nani, a 35-year-old woman who was previously healthy, although she looks like she has aged well into her 50s. She has come to you because her village doctors have told her she has malaria. She is breathing heavily, very sweaty with a high fever, achy, and shaking. Her eyes are slightly yellow in color, but you are unsure if this is related or unrelated to her current illness. She has been sick for a little over a week, and has gone through several cycles of feeling better for a couple days before the fever, sweating, and chills broke out again. She tells you that the village doctors tried to treat her with a combination of a mosquito paste with a root you have never heard of, but they were apparently unsuccessful. You have a portable serological testing kit, and you confirm the diagnosis with a drop of blood from Nani’s finger. 
-You approach the physician you are reporting to at the moment with Nani's clinical diagnosis and findings.However,before you even approach him,you are well aware of what treatment he is going to order.In this case,what is the first line treatment?

Quizplus · Accepted Answer

The clinical presentation, history of failed local treatment, and confirmed diagnosis of malaria make chloroquine and doxycycline the appropriate first-line treatment. Vancomycin and ceftazidime are antibiotics primarily used for bacterial infections, azidothymidine and Fuzeon are antiretroviral drugs for HIV, and acyclovir and cefdinir are used for viral and bacterial infections, respectively, but not for malaria.

Please Read the Clinical Scenario, and Then Answer the Question