Nokea
A client is planning to travel to an area of the world where malaria is endemic. The physician has given the client a prescription of chloroquine as prophylaxis. Which of the following would the nurse include in the teaching plan for this client about starting and ending therapy?
- A. Begin therapy 1 month before exposure.
- B. Begin therapy 2 weeks before exposure.
- C. Continue therapy 6 to 8 weeks after leaving endemic area.
- D. Continue therapy 1 to 2 weeks after leaving endemic area.
- E. Stop therapy 2 days prior to leaving endemic area.
Correct Answer: B,C
Rationale: The nurse should advise the client to begin malaria prophylaxis therapy 2 weeks before traveling to the endemic area and to continue therapy 6 to 8 weeks after leaving the endemic area.
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A group of nursing students are reviewing information about fungal infections. The students demonstrate understanding of the information when they identify which of the following as a superficial fungal infection?
- A. Aspergillosis
- B. Cryptococcal meningitis
- C. Thrush
- D. Malaria
Correct Answer: C
Rationale: Thrush is also oral candidiasis, a superficial fungal infection of the oral mucosa. Aspergillosis and cryptococcal meningitis are systemic fungal infections. Malaria is a protozoal infection.
A nurse is administering an IV infusion of amphotericin B. The nurse would be alert for which of the following adverse reactions during the first 30 to 60 minutes of the infusion?
- A. Muscle pain
- B. Hypotension
- C. Nausea
- D. Decreased renal function
- E. Chills
Correct Answer: B,C,E
Rationale: When the nurse administers amphotericin B by IV infusion, immediate adverse reactions can occur within 15 to 20 minutes of beginning the infusion, including nausea, vomiting, hypotension, tachypnea, fever, and chills; therefore, it is important for the nurse to carefully monitor the client's temperature, pulse, respirations, and blood pressure during the first 30 to 60 minutes of treatment.
A patient with a severe stomachache visits the health care facility. A parasitic infection is suspected. The nurse would expect to collect which of the following specimens?
- A. Stool
- B. Blood
- C. Urine
- D. Saliva
Correct Answer: A
Rationale: The nurse should obtain stool samples of patients with suspected parasitic infection. There is no need to obtain samples of blood, urine, or saliva in cases of suspected parasitic infection.
A nurse is preparing a plan of care for a client who is prescribed an antiparasitic agent. Which nursing diagnosis would the nurse most likely identify related to the client's drug therapy?
- A. Impaired Comfort
- B. Diarrhea
- C. Risk for Ineffective Tissue Perfusion
- D. Risk for Deficient Fluid Volume
- E. Risk for Impaired Respiratory Function
Correct Answer: B,D,E
Rationale: Drug-specific nursing diagnoses when discussing the treatment of parasitic infection include Diarrhea, Risk for Deficient Fluid Volume, Imbalanced Nutrition, and Risk for Impaired Respiratory Function.
A group of nursing students are reviewing information about clotrimazole vaginal preparations. The students demonstrate understanding of the drug when they identify which of the following as a trade name for the drug?
- A. Lotrimin
- B. Monistat
- C. Vagistat-1
- D. Terazol
- E. Mycelex
Correct Answer: A,E
Rationale: Lotrimin and Mycelex are trade names for clotrimazole vaginal preparations. Monistat is the trade name for miconazole. Vagistat-1 is the trade name for tioconazole. Terazol is the trade name for terconazole.