12 pharm
A client who is receiving metronidazole therapy for trichomoniasis asks the nurse how this infection occurred. Which response by the nurse would be most appropriate? "You probably got bitten by a mosquito." "It is passed to humans by the common housefly." "You probably drank some contaminated water." "The infection is spread during sexual intercourse."
"The infection is spread during sexual intercourse."
A client is prescribed metronidazole for the treatment of trichomoniasis. What is the most important information for the nurse to teach the client about proper administration of this medication? "Suck on sugar-free hard candy if you have a dry mouth." "Take the medication with meals if you have GI irritation." "Increase your fluid intake while taking this medication." "Do not drink alcohol while taking this medication."
"Do not drink alcohol while taking this medication."
A client who is receiving drug therapy for treatment of giardiasis asks the nurse about how she may have gotten this infection. The nurse would incorporate knowledge of transmission into what assessment question? "Have you been exposed to large number of mosquitos lately?" "Has anyone else in your family been sick lately?" "Have you drunk any water that might have been contaminated?" "Have you recently begun any new sexual relationships?"
"Have you drunk any water that might have been contaminated?"
A client has been prescribed tinidazole for the treatment of a protozoal infection. What statement by the client indicates to the nurse that further teaching is warranted? "Even though I'm not feeling well, I'll likely have to work long hours for the next couple of weeks." "I like to have a small glass of white wine each evening to unwind." "I got an allergic reaction to penicillin when I was given it as a child." "I've taken a thyroid supplement every day for years."
"I like to have a small glass of white wine each evening to unwind."
A client has been prescribed tinidazole for the treatment of a protozoal infection. What statement by the client indicates to the nurse that further teaching is warranted? "I like to have a small glass of white wine each evening to unwind." "I've taken a thyroid supplement every day for years." "Even though I'm not feeling well, I'll likely have to work long hours for the next couple of weeks." "I got an allergic reaction to penicillin when I was given it as a child."
"I like to have a small glass of white wine each evening to unwind."
A nature photographer will be embarking on a trip overseas and is beginning a protocol for malaria prophylaxis involving 500 mg of chloroquine phosphate. What instruction should the nurse include in this client's health education? "It's not unusual to develop a rash on your trunk and arms, but this isn't cause for concern." "We'll need to provide you with enough syringes and teach you how to inject the drug." "Make sure you take your pill on the same day each week." "You'll need to plan ahead so that you take your chloroquine on an empty stomach."
"Make sure you take your pill on the same day each week."
The nurse caring for a client with Entamoeba histolytica infection explains to the client and family the mode of transmission of this amoeba. Which statement by the client indicates that an understanding of the teaching that was provided? "This disease is spread by poor hand washing." "This disease is spread by indirect contact with the organism." "This disease is spread from ingesting contaminated food." "This disease is spread by blood-to-blood transmission."
"This disease is spread from ingesting contaminated food."
The nurse is providing health education for a client who has been prescribed atovaquone (Malarone) prior to leaving on a tropical vacation. The nurse should state: "It's a good idea to create an alert on your phone so you remember to take it each week." "Make sure to stop taking the drug immediately if you experience any side effects." "You'll have to take this drug each day, starting before you leave on your trip." "This won't prevent you from getting malaria, but if you do get infected you'll recover much quicker."
"You'll have to take this drug each day, starting before you leave on your trip."
A client has been prescribed mefloquine before embarking on a scientific survey in a malaria endemic area. What should the nurse teach the client about this prophylactic drug regimen? "Most people find they have less stomach upset if they take with breakfast each day." "Take your first dose on the evening of the day you leave for your trip." "You'll need to keep taking this for about one month after you return." "Take the minimum dose needed to prevent malaria."
"You'll need to keep taking this for about one month after you return."
Based on the client's history, the nurse suspects a client with Plasmodium falciparum malaria will have difficulty complying with pharmacotherapy if he has to take several different pills per day. What approach has the best potential to improve compliance? Combination therapy PRN (as-needed) dosing Prophylactic therapy Outpatient treatment
Combination therapy
When administering chloroquine, the nurse would be most concerned about exacerbating the underlying disease of which patient? A 39-year-old man who smokes and drinks alcohol and has mild hepatic disease A 21-year-old man with gastrointestinal distress A 27-year-old woman who has psoriasis A 54-year-old woman with a blood dyscrasia
A 27-year-old woman who has psoriasis
A nurse is reviewing the health record of a client for whom antimalarial therapy is being proposed. The nurse should identify what aspect of the client's history as contraindicating the use of antimalarials? Alcoholic liver disease Atherosclerosis Sensorineural hearing loss Type 2 diabetes
Alcoholic liver disease
A client is diagnosed with giardiasis and prescribed oral metronidazole. The client self-administered this therapy for 3 weeks and returns for a scheduled checkup. What is the most important follow-up examination or testing that needs to be completed? Monitor for edema or CHF. Test for visual acuity. Arrange for testing of three stool specimens. Monitor for thrombophlebitis.
Arrange for testing of three stool specimens.
A male client is traveling to a country where malaria is endemic. The nurse suggests that he visit his health care provider and receive a prescription for what medication? Metronidazole Chloroquine Iodoquinol Tinidazole
Chloroquine
A client who is receiving primaquine comes to the clinic with nausea, vomiting, and vertigo. What other finding would the nurse expect to assess if the client was experiencing cinchonism? Tinnitus Fever Dyspepsia Rash
Tinnitus
A male client is traveling to a country where malaria is endemic. The nurse suggests that he visit his health care provider and receive a prescription for what medication? Iodoquinol Metronidazole Chloroquine Tinidazole
Chloroquine
Which statement best reflects the use of antimalarial agents for treatment of the protozoan? The development of resistant strains of the parasite against antimalarial agents is rare. Typically, a single drug is sufficient to destroy the sporozoites in the early stages. Quinine is considered the current mainstay of treatment for malaria. Combination therapy is used to attack the parasite at various life cycle stages.
Combination therapy is used to attack the parasite at various life cycle stages.
A client has been prescribed primaquine to prevent a relapse of malaria and is nearing the end of the prescribed course of treatment. During the nurse's most recent assessment, the client reports "I'm feeling dizzy and nauseous a lot, with ringing in my ears." What is the nurse's best action? Explain that adverse effects often worsen near the end of the course of treatment. Communicate these assessment findings to the provider promptly. Teach the client falls prevention strategies and suggest OTC antiemetics. Document the fact that the client may be experiencing a relapse of malaria.
Communicate these assessment findings to the provider promptly.
The nurse is assessing a client who is in the military and who will leave in two weeks for a tour in an area where malaria is endemic. The client has been given a prescription by the provider reading "Chloroquine 300 mg PO weekly starting now and until four weeks after returning home." What is the nurse's best action? Assess the client for signs and symptoms of latent malaria. Contact the provider to question the frequency of administration. Contact the provider to question the dose. Confirm the client's knowledge of the medication regimen.
Confirm the client's knowledge of the medication regimen.
With the emergence of chloroquine-resistant strains of Plasmodium, the Centers for Disease Control and Prevention recommends the use of quinine with an antibiotic as a combination therapy for the treatment of uncomplicated or severe malaria. What are the correct antibiotics to use? (Select all that apply.) Doxycycline Clindamycin Vancomycin Penicillin Tetracycline
Doxycycline Tetracycline Clindamycin
A client in her twenties has told the nurse that she will be going on a safari trip for her honeymoon and that she has been prescribed antimalarial prophylaxis. The nurse should follow up with what education? Encourage the client to use reliable contraception Teach the client about the associated risk for vaginal candidiasis caused by antimalarials Ensure that the client and her husband will be taking the same medication Teach the client that she will likely have irregular menstrual periods during treatment
Encourage the client to use reliable contraception
A patient of Greek descent is traveling to an area of the world in which malaria is endemic. What could indicate a possible serious complication if the patient takes certain anti-malarial drugs? Severe depression An increase in weight Penicillin allergy Glucose-6-phosphate dehydrogenase (G6PD) deficiency
Glucose-6-phosphate dehydrogenase (G6PD) deficiency
A client who is working in an area where malaria is endemic has been taking Malarone one tablet daily for prophylaxis for several months. The client has called the clinic to report loss of visual acuity to the nurse. What is the nurse's best action? Have the client assessed by the provider immediately. Encourage the client to use over-the-counter eye drops and follow up if the problem does not resolve in 24 hours. Tell the client to call 911 immediately. Explain to the client that this adverse effect will diminish spontaneously.
Have the client assessed by the provider immediately.
A client with amebiasis is to receive metronidazole. The client also takes warfarin for atrial fibrillation. The nurse would instruct the client to immediately report which symptom? Abdominal cramps Ataxia Increased bleeding Paresthesias
Increased bleeding
A client is receiving chloroquine for a diagnosis of extraintestinal amebiasis. The nurse should provide information on which medication that is likely to be administered with chloroquine? Iodoquinol Metronidazole Carbamazepine Metyrosine
Metronidazole
A client is receiving chloroquine for a diagnosis of extraintestinal amebiasis. The nurse should provide information on which medication that is likely to be administered with chloroquine? Metronidazole Iodoquinol Metyrosine Carbamazepine
Metronidazole
Which medication will be administered to treat the diarrhea and abdominal distention associated with giardiasis? Doxycycline Sulfasalazine Trimethoprim-sulfamethoxazole Metronidazole
Metronidazole
A nurse is preparing to administer primaquine therapy to a client. The nurse should anticipate administering the drug by which route? Intramuscular Subcutaneous Inhalation Oral
Oral
A child has been taking mebendazole for the past 3 weeks after being diagnosed with roundworm. The nurse will determine the efficacy of the child's treatment by referencing what diagnostic test? Stool for ova and parasites Colonoscopy or sigmoidoscopy Rectal swab for culture Liver enzymes
Stool for ova and parasites
Infections caused by protozoa are relatively rare in the United States, but with people moving throughout the world in increasing numbers, it is not unusual to find a person who returns home from travel with a fully developed protozoal infection. Which of the following areas are where protozoa infections are most prevalent? Select all that apply. Colombia Egypt Canada Thailand Ireland
Thailand Colombia Egypt
A client has made an appointment at a travel clinic seeking antimalarial prophylaxis. What aspect of the client health is most likely to contraindicate the use of antimalarials? The client drinks eight to ten alcoholic drinks per day. The client has poorly controlled type 2 diabetes. The client has an confirmed allergy to contrast solution. The client is morbidly obese.
The client drinks eight to ten alcoholic drinks per day.
A client has made an appointment at a travel clinic seeking antimalarial prophylaxis. What aspect of the client health is most likely to contraindicate the use of antimalarials? The client has poorly controlled type 2 diabetes. The client is morbidly obese. The client drinks eight to ten alcoholic drinks per day. The client has an confirmed allergy to contrast solution.
The client drinks eight to ten alcoholic drinks per day.
A client is admitted to the hospital for the treatment of malaria. The health care provider has ordered chloroquine. Which symptoms would indicate a serious adverse reaction? vomiting and diarrhea blood pressure is 110/70 mm Hg increasing abdominal pain blurred vision
blurred vision
An adult client has been diagnosed with giardiasis and been prescribed a single dose of tinidazole 2000 mg PO. The client has a complex health history and takes metformin, warfarin, furosemide and bisoprolol. The nurse should: confirm with the provider whether the client needs a potassium supplement. monitor the client closely for signs of bleeding. assess the client's blood glucose q2h for the next 12 hours. educate the client about the possibility of orthostatic hypotension.
monitor the client closely for signs of bleeding.
An adult client has been diagnosed with giardiasis and been prescribed a single dose of tinidazole 2000 mg PO. The client has a complex health history and takes metformin, warfarin, furosemide and bisoprolol. The nurse should: educate the client about the possibility of orthostatic hypotension. confirm with the provider whether the client needs a potassium supplement. monitor the client closely for signs of bleeding. assess the client's blood glucose q2h for the next 12 hours.
monitor the client closely for signs of bleeding.
A 22-year-old female college student presented to the clinic and was given a prescription for metronidazole 250 mg PO tid for 7 days. The nurse at the clinic understands that metronidazole is used in the treatment of which? Pneumocystis jirovecii pneumonia(PCP). pediculosis. trichomoniasis. malaria.
trichomoniasis.
A 22-year-old female college student presented to the clinic and was given a prescription for metronidazole 250 mg PO tid for 7 days. The nurse at the clinic understands that metronidazole is used in the treatment of which? trichomoniasis. pediculosis. malaria. Pneumocystis jirovecii pneumonia(PCP).
trichomoniasis.
