Pharm Ch 12 Prepu
A client, taking metronidazole for the past 4 days, reports to the nurse that the most recent dose caused the client to feel "flushed, sweaty, and sick in the stomach." What assessment is most likely to address the cause of this phenomenon?
"Did you drink any alcoholic beverages around the time of taking the drug?"
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?
"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 drunk any water that might have been contaminated?"
The nurse at a travel clinic is working with a client who has been prescribed atovaquone (Malarone) before leaving for overseas. The client states, "I'd prefer not to take this unless I absolutely have to, because some of my colleagues say that the side effects are nasty." What health education should the nurse provide to the client?
"I can teach you some strategies for managing some of the adverse effects of the drug."
A sexually active teen tells the nurse that his/her sexual partner is being treated for trichomoniasis. What is the nurse's best response when asked whether he/she should be treated as well?
"If your sexual partner is infected with tricomoniasis, you too need to be treated simultaneously."
A nature photographer will be embarking on a trip to sub-Saharan Africa 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?
"Make sure you take your pill on the same day each week."
A client with giardiasis is to receive tinidazole. The nurse should instruct the client to do what?
"Take the drug as a single dose with food."
The client has just begun taking metronidazole and calls the clinic to report that her urine has turned very dark. What is the nurse's best response to this client?
"This is an expected side effect. Your urine color will return to normal after you stop taking this drug."
A client is receiving mefloquine as part of a treatment for malaria asks the nurse about becoming pregnant. Which response by the nurse would be most appropriate?
"You need to avoid pregnancy during the therapy and for 2 months after completion."
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:
"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?
"You'll need to keep taking this for about one month after you return."
A client has been diagnosed with malaria and will begin treatment promptly. What is the best way to attack the Plasmodium protozoas life cycle?
Administer combination therapy as prescribed
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? _____ _____ disease
Alcoholic liver disease
A client has been taking chloroquine for the treatment of malaria for the past 7 days. The client's hemoglobin level has declined from a baseline of 14.3 g/dL (143 g/L) to 7.9 g/dL (79 g/L) this morning. In addition to informing the provider, what is the nurse's best action?
Assess the client for further indications of hemolytic crisis.
A patient has been instructed to take metronidazole for intestinal amebiasis. Which instruction should the nurse give to the patient regarding the drug?
Avoid intake of alcohol
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?
Chloroquine
Which statement made by a nurse indicates a need for further teaching concerning the medication chloroquine?
Chloroquine is used to prevent a recurrence of malaria.
Which statement best reflects the use of antimalarial agents for treatment of the protozoan?
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?
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?
Confirm the client's knowledge of the medication regimen.
A nurse is educating a client on the administration of tinidazole. Which statement indicates that the client understands the administration of tinidazole?
"The medicine will leave a bitter or metallic taste in my mouth."
Which agent would a nurse identify as being most schizonticidal?
Chloroquine
Which drug is currently the mainstay of antimalarial therapy and is directly toxic to parasites that absorb it?
Chloroquine
Which drug is currently the mainstay of antimalarial therapy?
Chloroquine (Aralen)
A client who is planning to travel to Africa is prescribed chloroquine to prevent malaria. The nurse would instruct the client to begin the therapy at approximately which time?
Ten days before leaving on the trip
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.
Which medication will be administered to treat the diarrhea and abdominal distention associated with giardiasis?
metronidazole
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:
monitor the client closely for signs of bleeding.
A client has been prescribed quinine. Which instruction should the nurse give to the client regarding its use?
Do not drive if blurred vision or dizziness occurs.
A client with amebiasis has been prescribed a seven-day course of metronidazole. What intervention should the nurse prioritize when providing anticipatory guidance about potential adverse gastrointestinal effects?
Eat small meals several times per day.
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
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.
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?
Increased bleeding
A client has been diagnosed with an amebiasis infection, and the primary health care provider has prescribed metronidazole. The client is also taking warfarin for blood clotting. Which is a possible interaction associated with taking metronidazole with warfarin?
Increases the risk of bleeding
A client, diagnosed with Trichomonas vaginalis, is being treated with metronidazole orally. What instruction is most important for the nurse to provide this client to minimize the spread of this infection?
Instruct her to have her partner treated.
Chloroquine acts against erythrocytic forms of plasmodial parasites to prevent or treat what condition?
Malaria
Antimalarial drugs are usually given in combination to attack the Plasmodium at various stages of its life cycle. Which is not an example of an anitmalarial drug?
Metronidazole
Atovaquone is indicated for use in which of the following?
Pneumocystis jiroveci pneumonia
A patient has been diagnosed with amebiasis. Which intervention should the nurse perform regularly while caring for the patient?
Provide the patient with small, frequent meals.
A student has presented to the college campus medical clinic and has been diagnosed with a helminthic infection. When planning this client's care, the nurse should include interventions to address what psychosocial nursing diagnosis?
Situational low self-esteem
A female patient with giardiasis is taking oral metronidazole. After 3 weeks of therapy, she comes to the clinic for a checkup. Which would be the most important nursing action?
Test a stool specimen.
The nurse is caring for a client who has just returned from an overseas trip and been diagnosed with malaria. When updating the client's provider on the client's current health status, what assessment finding should the nurse prioritize?
The client's sclerae are yellowed and the client reports pruritis
While taking chloroquine for malaria prophylaxis, the nurse should likely encourage the client to avoid ingesting which food/beverage?
alcohol
Laboratory testing has confirmed that a patient has chloroquine-resistant malaria and the patient's physician has prescribed quinine along with an adjunctive drug. The nurse should question the physician's order if the patient has a history of:
cardiac arrhythmias.
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
A child who lives in a rural area has been diagnosed with a Necator americanus infection during a public health campaign. This child's health is affected by what parasites?
hookworms
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
What signs and symptoms most likely prompted a client diagnosed with amebiasis to initially seek care?
severe diarrhea
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
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.
